Selective Vpac2 Receptor Peptide Agonists

ABSTRACT

The present invention encompasses peptides that selectively activate the VPAC2 receptor and are useful in the treatment of diabetes.

The present invention relates to selective VPAC2 receptor peptide agonists.

In particular, the present invention relates to selective VPAC2 receptor peptide agonists which are covalently attached to one or more molecules of polyethylene glycol or a derivative thereof.

Type 2 diabetes, or non-insulin dependent diabetes mellitus (NIDDM), is the most common form of diabetes, affecting 90% of people with diabetes. With NIDDM, patients have impaired β-cell function resulting in insufficient insulin production and/or decreased insulin sensitivity. If NIDDM is not controlled, excess glucose accumulates in the blood, resulting in hyperglycemia. Over time, more serious complications may arise including renal dysfunction, cardiovascular problems, visual loss, lower limb ulceration, neuropathy, and ischemia. Treatments for NIDDM include improving diet, exercise, and weight control as well as using a variety of oral medications. Individuals with NIDDM can initially control their blood glucose levels by taking such oral medications. These medications, however, do not slow the progressive loss of β-cell function that occurs in NIDDM patients and, thus, are not sufficient to control blood glucose levels in the later stages of the disease. Also, treatment with currently available medications exposes NIDDM patients to potential side effects such as hypoglycemia, gastrointestinal problems, fluid retention, oedema, and/or weight gain.

Pituitary adenylate cyclase-activating peptide (PACAP) and vasoactive intestinal peptide (VIP) belong to the same family of peptides as secretin and glucagon. PACAP and VIP work through three G-protein-coupled receptors that exert their action through the cAMP-mediated and other Ca²⁺-mediated signal transduction pathways. These receptors are known as the PACAP-preferring type 1 (PAC 1) receptor (Isobe, et al., Regul. Pept., 110:213-217 (2003); Ogi, et al., Biochem. Biophys. Res. Commun., 196:1511-1521 (1993)) and the two VIP-shared type 2 receptors (VPAC1 and VPAC2) (Sherwood et al., Endocr. Rev., 21:619-670 (2000); Hammar et al., Pharmacol Rev, 50:265-270 (1998); Couvineau, et al., J. Biol. Chem., 278:24759-24766 (2003); Sreedharan, et al., Biochem. Biophys. Res. Commun., 193:546-553 (1993); Lutz, et al., FEBS Lett., 458: 197-203 (1999); Adamou, et al., Biochem. Biophys. Res. Commun., 209: 385-392 (1995)). A series of PACAP analogues is disclosed in U.S. Pat. No. 6,242,563 and WO 2000/05260.

PACAP has comparable activities towards all three receptors, whilst VIP selectively activates the two VPAC receptors (Tsutsumi et al., Diabetes, 51:1453-1460 (2002)). Both VIP (Eriksson et al., Peptides, 10: 481-484 (1989)) and PACAP (Filipsson et al., JCEM, 82:3093-3098 (1997)) have been shown to not only stimulate insulin secretion in man when given intravenously but also increase glucagon secretion and hepatic glucose output. As a consequence, PACAP or VIP stimulation generally does not result in a net improvement of glycemia. Activation of multiple receptors by PACAP or VIP also has broad physiological effects on nervous, endocrine, cardiovascular, reproductive, muscular, and immune systems (Gozes et al., Curr. Med. Chem., 6:1019-1034 (1999)). It appears that VIP-induced watery diarrhoea in rats is mediated by only one of the VPAC receptors, VPAC1 (Ito et al., Peptides, 22:1139-1151 (2001); Tsutsumi et al., Diabetes, 51:1453-1460 (2002)). The VPAC1 and PAC1 receptors are expressed on α-cells and hepatocytes and, thus, are most likely involved in the effects on hepatic glucose output.

Exendin-4 is found in the salivary excretions from the Gila Monster, Heloderma Suspectum, (Eng et al., J. Biol Chem., 267(11):7402-7405 (1992)). It is a 39 amino acid peptide, which has glucose dependent insulin secretagogue activity. Particular PEGylated Exendin and Exendin agonist peptides are described in WO 2000/66629.

Recent studies have shown that peptides selective for the VPAC2 receptor are able to stimulate insulin secretion from the pancreas without gastrointestinal (GI) side effects and without enhancing glucagon release and hepatic glucose output (Tsutsumi et al., Diabetes, 51:1453-1460 (2002)). Peptides selective for the VPAC2 receptor were initially identified by modifying VIP and/or PACAP. (See, for example, Xia et al., J Pharmacol Exp Ther., 281:629-633 (1997); Tsutsumi et al., Diabetes, 51:1453-1460 (2002); WO 01/23420 and WO 2004/06839.)

Many of the VPAC2 receptor peptide agonists reported to date have, however, less than desirable potency, selectivity, and stability profiles, which could impede their clinical viability. In addition, many of these peptides are not suitable for commercial candidates as a result of stability issues associated with the polypeptides in formulation, as well as issues with the short half-life of these polypeptides in vivo. It has, furthermore, been identified that some VPAC2 receptor peptide agonists are inactivated by dipeptidyl-peptidase (DPP-IV). A short serum half-life could hinder the use of these agonists as therapeutic agents. There is, therefore, a need for new therapies, which overcome the problems associated with current medications for NIDDM.

The present invention seeks to provide improved compounds that are selective for the VPAC2 receptor and which induce insulin secretion from the pancreas only in the presence of high blood glucose levels. The compounds of the present invention are peptides, which are believed to also improve beta cell function. These peptides can have the physiological effect of inducing insulin secretion without GI side effects or a corresponding increase in hepatic glucose output and also generally have enhanced selectivity, potency, and/or in vivo stability of the peptide compared to known VPAC2 receptor peptide agonists.

The present invention also seeks to provide selective VPAC2 receptor peptide agonists, which have reduced clearance and improved in vivo stability. It is desirable that the agonists of the present invention be administered a minimum number of times during a prolonged period of time.

According to a first aspect of the invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising a sequence selected from:

SEQ ID NO: 17 HSDAVFTEQY(OMe)TRAibRAibQLAAAibOrnY(OMe)LQSIKAib Orn; SEQ ID NO: 18 HSDAVFTEK(CO(CH₂)₂SH)Y(OMe)TOrnLRAibQVAAAibOrnYLQS IOrnOrn; SEQ ID NO: 19 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYLQSIOrnK(W)Grn; SEQ ID NO: 20 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK(CO(Chd 2)₂SH)YLQSIO rnOrn; SEQ ID NO: 21 HSDAVFTEQY(OMe)TOrnLRAibQVAAK(CO(CH₂)₂SH)OrnYLQSI OrnOrn; SEQ ID NO: 22 HSDAVFTEQY(OMe)TOrnLRAibQVCAAibOrnYLQSIOrnOrn; SEQ ID NO: 23 HSDAVFTEQY(OMe)TOrnLRCQVAAAibOrnYLQSIOrnOrn; SEQ ID NO: 24 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYLQSIOrnOrn; SEQ ID NO: 25 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYAibQSIOrnOrn; SEQ ID NO: 26 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYLQAibIOrnOrn; SEQ ID NO: 27 HSDAVFTEQY(OMe)TOrnLRAibQVAAbuAibOrnYLQAibIOrnOrn; SEQ ID NO: 28 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYLQAibIOrnOrn; SEQ ID NO: 29 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYAibQAibIOrnOrn; SEQ ID NO: 30 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYAibQSIOrnOrn; SEQ ID NO: 31 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQSIOrnOrn; SEQ ID NO: 32 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYAibQAibIOrn Orn; SEQ ID NO: 33 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYAibQSIOrnOrn; SEQ ID NO: 34 HSDAVFTEQY(OMe)TOrnLRK(W)QVAAAibOrnYLQSIOrnOrn; SEQ ID NO: 35 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYLK(W)SIOrnOrn; SEQ ID NO: 36 HSDAVFTEQY(OMe)TOrnLRAibQK(W)AAAibOrnYLQSIOrnOrn; SEQ ID NO: 37 HSDAVFTEQY(OMe)TOrnLRK(CO(CH₂)₂SH)QVAAAibOrnYLQSI OrnOrn; SEQ ID NO: 38 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK(W)YLQSIOrnOrn; SEQ ID NO: 39 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibCYLQSIOrnOrn; SEQ ID NO: 40 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQAibIOrnOrn; SEQ ID NO: 41 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYLQSK(W)OrnOrn; SEQ ID NO: 42 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQAibIOrnC Orn; SEQ ID NO: 43 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQAibCOrnOrn; SEQ ID NO: 44 HSDAVFTEQY(OMe)TOrnLRAibQCAAbuAibOrnYLQAibIOrnOrn; SEQ ID NO: 45 HSDAVFTEQY(OMe)TOrnLRCQLAAbuAibOrnYLQAibOrnOrn; SEQ ID NO: 94 HSDAVFTEQY(OMe)TOrnLRAibQVK(CO(CH2)2SH)AAibOrnYLQS IOrnOrn; SEQ ID NO: 95 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQSIOrnCOrn; SEQ ID NO: 96 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQSCOrnOrn; SEQ ID NO: 97 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQAibIOrnK(CO (CH₂)₂SH)Orn; SEQ ID NO: 98 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQSIOrnK(CO (CH₂)₂SH)Orn; SEQ ID NO: 99 HSDAVFTEQY(OMe)TOrnLRK(W)QLAAbuAibOrnYLQAibIOrn Orn; SEQ ID NO: 100 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYLQSIOrnOrnC; SEQ ID NO: 101 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYLQSIOrnOrnC; SEQ ID NO: 102 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQSIOrnOrnC; SEQ ID NO: 103 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnY(OMe)LQAibI OrnOrn; SEQ ID NO: 104 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnY(OMe)LQAibI OrnCOrn; SEQ ID NO: 105 HSDAVFTEQY(OMe)TOrnLRAibQCAAbuAibOrnY(OMe)LQAibI OrnOrn; SEQ ID NO: 106 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYLQAibIOrn OrnC; SEQ ID NO: 107 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnY(OMe)LQSI OrnOrn; SEQ ID NO: 108 HSDAVFTEQY(OMe)TOrnLRAibQCAAbuAibOrnY(OMe)LQSI OrnOrn; SEQ ID NO: 109 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnY(OMe)LQSI OrnCOrn; SEQ ID NO: 110 HSDAVFTEQY(OMe)TOrnLRAibQLAbuAAibOrnYLQSIOrnOrn; SEQ ID NO: 111 HSDAVFTEQY(OMe)TOrnLRAibQK(CO(CH₂)₂SH)AAbuAibOrnYL QAibIOrnOrn; and SEQ ID NO: 112 HSDAVFTEQY(OMe)TOrnLRAibQK(W)AAbuAibOrnYLQAibIOrn Orn;

and a C-terminal extension wherein the N-terminus of the C-terminal extension is linked to the C-terminus of the peptide sequence and wherein the C-terminal extension comprises and amino acid sequence of the formula:

Formula 3 (SEQ ID NO: 3) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Xaa₇-Xaa₈-Xaa₉- Xaa₁₀-Xaa₁₁-Xaa₁₂ wherein: Xaa₁ is: Gly, Cys, or absent; Xaa₂ is: Gly, Arg, or absent; Xaa₃ is: Pro, Thr, or absent; Xaa₄ is: Ser, or absent; Xaa₅ is: Ser, or absent; Xaa₆ is: Gly, or absent; Xaa₇ is: Ala, or absent; Xaa₈ is: Pro, or absent; Xaa₉ is: Pro, or absent; Xaa₁₀ is: Pro, or absent; Xaa₁₁ is: Ser, Cys, or absent; and Xaa₁₂ is: Cys, or absent;

wherein at least five of Xaa₁ to Xaa₁₂ of the C-terminal extension are present, and wherein if Xaa₁, Xaa₂, Xaa₃, Xaa₄, Xaa₅, Xaa₆, Xaa₇, Xaa₈, Xaa₉, Xaa₁₀, or Xaa₁₁ is absent, the next amino acid present downstream is the next amino acid in the C-terminal extension and wherein the C-terminal amino acid may be amidated,

and wherein;

the peptide agonist comprises at least one Cys residue which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one Lys residue which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one K(W) which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one K(CO(CH₂)₂SH) which is covalently attached to a PEG molecule, or

the carboxy-terminal amino acid of the peptide agonist is covalently attached to a PEG molecule, or

a combination thereof.

Preferably, at least six of Xaa₁ to Xaa₁₂ of the C-terminal extension of Formula 3 is present. More preferably, at least seven, eight, nine, ten, eleven, or all of Xaa₁ to Xaa₁₂ of the C-terminal extension are present.

More preferably, the C-terminal extension of the PEGylated VPAC2 receptor peptide agonist is selected from:

SEQ ID NO: 5 GGPSSGAPPPS SEQ ID NO: 6 GGPSSGAPPPS-NH₂ SEQ ID NO: 7 GGPSSGAPPPC SEQ ID NO: 8 GGPSSGAPPPC-NH₂ SEQ ID NO: 9 GRPSSGAPPPS SEQ ID NO: 10 GRPSSGAPPPS-NH₂ SEQ ID NO: 11 GGPSSGAPPPCC SEQ ID NO: 12 GGPSSGAPPPCC-NH₂

Even more preferably, the C-terminal extension of the PEGylated VPAC2 receptor peptide agonist is SEQ ID NO: 11 or SEQ ID NO: 12.

A PEG molecule(s) may be covalently attached to any Lys, Cys, K(W) or K(CO(CH₂)₂SH) residues at any position in the VPAC2 receptor peptide agonist according to the first aspect of the present invention.

Where the PEGylated VPAC2 receptor peptide agonist comprises a sequence selected from SEQ ID NO: 22, 23, 39, 42, 43, 44, 45, 95, 96, 100, 101, 102, 104, 105, 106, 108 and 109, it is preferred that the cysteine residue is PEGylated.

Where the PEGylated VPAC2 receptor peptide agonist comprises a sequence selected from SEQ ID NO: 19, 34, 35, 36, 38, 41, 99 and 112, it is preferred that the K(W) residue is PEGylated.

Where the PEGylated VPAC2 receptor peptide agonist comprises a sequence selected from SEQ ID NO: 18, 20, 21, 37, 94, 97, 98 and 111, it is preferred that the K(CO(CH₂)₂SH) residue is PEGylated.

Where the PEGylated VPAC2 receptor peptide agonist comprises a C-terminal extension, the PEG molecule(s) may be covalently attached to one or more Cys residues in said C-terminal extension. Where the sequence selected from SEQ ID NO: 17 to 45 and 94 to 112 comprises one or more Lys, Cys, K(W), or K(CO(CH₂)₂SH) residues and the C-terminal extension comprises one or more Cys residues, there may be one or more PEGylated residues in either or both sequences.

Preferably, there is at least one PEG molecule covalently attached to a residue in the C-terminal extension of the VPAC2 receptor peptide agonist.

Where there is more than one PEG molecule, there may be a combination of Lys, Cys, K(CO(CH₂)₂SH), K(W) and carboxy-terminal amino acid PEGylation. For example, if there are two PEG molecules, one may be attached to a Lys residue and one may be attached to a Cys residue.

Preferably, the PEG molecule is branched. Alternatively, the PEG molecule may be linear.

Preferably, the PEG molecule is between 1,000 daltons and 100,000 daltons in molecular weight. More preferably, the PEG molecule is selected from 10,000, 20,000, 30,000, 40,000, 50,000 and 60,000 daltons. Even more preferably, it is selected from 20,000, 30,000, 40,000, or 60,000 daltons. Where there are two PEG molecules covalently attached to the peptide agonist of the present invention, each is 1,000 to 40,000 daltons and preferably, they have molecular weights of 20,000 and 20,000 daltons, 10,000 and 30,000 daltons, 30,000 and 30,000 daltons, or 20,000 and 40,000 daltons.

The PEGylated VPAC2 receptor peptide agonist sequence may further comprise a histidine residue at the N-terminus of the peptide before Xaa₁.

Preferably, the PEGylated VPAC2 receptor peptide agonist according to the first aspect of the present invention further comprises a N-terminal modification at the N-terminus of the peptide agonist wherein the N-terminal modification is selected from:

-   -   (a) addition of D-histidine, isoleucine, methionine, or         norleucine;     -   (b) addition of a peptide comprising the sequence         Ser-Trp-Cys-Glu-Pro-Gly-Trp-Cys-Arg (SEQ ID NO: 93) wherein the         Arg is linked to the N-terminus of the peptide agonist;     -   (c) addition of C₁-C₁₆ alkyl optionally substituted with one or         more substituents independently selected from aryl, C₁-C₆         alkoxy, —NH₂, —OH, halogen and —CF₃;     -   (d) addition of —C(O)R¹ wherein R¹ is a C₁-C₁₆ alkyl optionally         substituted with one or more substituents independently selected         from aryl, C₁-C₆ alkoxy, —NH₂, —OH, halogen, —SH and —CF₃; an         aryl optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; an aryl         C₁-C₄ alkyl optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; —NR²R³         wherein R² and R³ are independently hydrogen, C₁-C₆ alkyl, aryl         or aryl C₁-C₄ alkyl; —OR⁴ wherein R⁴ is C₁-C₁₆ alkyl optionally         substituted with one or more substituents independently selected         from aryl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃, aryl         optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃, or aryl         C₁-C₄ alkyl optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; or         5-pyrrolidin-2-one;     -   (e) addition of —SO₂R⁵ wherein R⁵ is aryl, aryl C₁-C₄ alkyl or         C₁-C₁₆ alkyl;     -   (f) formation of a succinimide group optionally substituted with         C₁-C₆ alkyl or —SR⁶, wherein R⁶ is hydrogen or C₁-C₆ alkyl;     -   (g) addition of methionine sulfoxide;     -   (h) addition of biotinyl-6-aminohexanoic acid (6-aminocaproic         acid); and     -   (i) addition of —C(═NH)—NH₂.

Preferably, the N-terminal modification is the addition of a group selected from: acetyl, propionyl, butyryl, pentanoyl, hexanoyl, methionine, methionine sulfoxide, 3-phenylpropionyl, phenylacetyl, benzoyl, norleucine, D-histidine, isoleucine, 3-mercaptopropionyl, biotinyl-6-aminohexanoic acid (6-aminocaproic acid), and —C(═NH)—NH₂. It is especially preferred that the N-terminal modification is the addition of acetyl or hexanoyl.

It will be appreciated by the person skilled in the art that PEGylated VPAC2 receptor peptide agonists comprising various combinations of peptide sequence selected from SEQ ID NO: 17 to 45 and 94 to 112, C-terminal extensions and N-terminal modifications as described herein, may be made based on the above disclosure.

It is preferred that the PEGylated VPAC2 receptor peptide agonist according to the first aspect of the present invention comprises an amino acid sequence selected from:

SEQ Agonist ID # NO Sequence P410 46 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK(W- PEG40K)YLQSIOrnOrnGGPSSGAPPPS-NH₂ P417 47 C6-HSDAVFTEQY(OMe)TRAibRAibQLAAAibOrnY (OMe)LQSIKAibOrnGGPSSGAPPPC(PEG40K)- NH₂ P451 48 C6-HSDAVFTEK(CO(CH₂)₂SPEG40K)Y(OMe)T OrnLRAibQVAAAibOrnYLQSIOrnOrnGGPSSGA PPPS-NH₂ P454 49 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSIOrnK(WPEG40K)OrnGGPSSGAPPPS-NH₂ P460 50 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibC(PE G40K)YLQSIOrnOrnGGPSSGAPPPS-NH₂ P472 51 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK(CO (CH₂)₂PEG40K)YLQSIOrnOrnGGPSSGAPPPS- NH₂ P473 52 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK(CO (CH₂)₂SPEG20K)YLQSIOrnOrnGGPSSGAPPPS- NH₂ P475 53 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAK(CO (CH₂)₂SPEG40K)OrnYLQSIOrnOrnGGPSSGA PPPS-NH₂ P478 54 C6-HSDAVFTEQY(OMe)TOrnLRAibQVC(PEG40K) AAibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂ P483 55 C6-HSDAVFTEQY(OMe)TOrnLRC(PEG40K)QVAAA ibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂ P485 56 C6-HSDAVFTEQY(OMe)TOrnLRK(CO(CH₂)₂SPEG 40K)QVAAAibOrnYLQSIOrnOrnGGPSSGAPPPS- NH₂ P507 57 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY AibQSIOrnOrnGGPSSGAPPPC(PEG40K)-NH₂ P509 58 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQAibIOrnOrnGGPSSGAPPPC(PEG40K)-NH₂ P511 59 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAbuAibOr nYLQAibIOrnOrnGGPSSGAPPPC(PEG40K)-NH₂ P513 60 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnY AibQSIOrnOrnGGPSSGAPPPC(PEG20K)C(PEG 20K)-NH₂ P515 61 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnY LQAibIOrnOrnGGPSSGAPPPC(PEG20K)C(PEG 20K)-NH₂ P517 62 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibIOrnOrnGGPSSGAPPPC(PEG20K)C(PEG 20K)-NH₂ P519 63 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnY AibQAibIOrnOrnGGPSSGAPPPC(PEG20K)C(PEG 20K)-NH₂ P521 64 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYAibQSIOrnOrnGGPSSGAPPPC(PEG20K)C(PEG 20K)-NH₂ P523 65 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQSIOrnOrnGGPSSGAPPPC(PEG20K)C(PEG 20K)-NH₂ P525 66 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYAibQAibIOrnOrnGGPSSGAPPPC(PEG20K)C(P EG20K)-NH₂ P529 67 C6-HSDAVFTEQY(OMe)TOrnLRK(WPEG40K)QVAA AibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂ P531 68 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LK(WPEG40K)SIOrnOrnGGPSSGAPPPS-NH₂ P533 69 C6-HSDAVFTEQY(OMe)TOrnLRAibQK(WPEG40K) AAAibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂ P535 70 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSK(WPEG40K)OrnOrnGGPSSGAPPPS-NH₂ P537 71 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibIOrnC(PEG40K)OrnGGPSSGAPPPS-NH₂ P541 72 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibC(PEG40K)OrnOrnGGPSSGAPPPS-NH₂ P545 73 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG40K)A AbuAibOrnYLQAibIOrnOrnGGPSSGAPPPS-NH₂ P547 74 C6-HSDAVFTEQY(OMe)TOrnLRC(PEG40K)QLAAb uAibOrnYLQAibIOrnOrnGGPSSGAPPPS-NH₂ P480 113 C6-HSDAVFTEQY(OMe)TOrnLRAibQVK(CO (CH₂)₂SPEG40K)AAibOrnYLQSIOrnOrnGGPSSG APPPS-NH₂ P481 114 C6-HSDAVFTEQY(OMe)TOrnLRAibQVK(CO (CH₂)₂SPEG20K)AAibOrnYLQSIOrnOrnGGPSSG APPPS -NH₂ P539 115 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQSIOrnC(PEG40K)OrnGGPSSGAPPPS-NH₂ P543 116 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQSC(PEG40K)OrnOrnGGPSSGAPPPS-NH₂ P549 117 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibIOrnK(CO(CH₂)₂SPEG20K)OrnGGPSSG APPPC(PEG20K)-NH₂ P551 118 C6-HSDAYFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQSIOrnK(CO(CH₂)₂SPEG20K)OrnGGPSSGAP PPC(PEG20K)-NH₂ P555 119 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQSIOrnC(PEG20K)OrnGGPSSGAPPPC(PEG20 K)-NH₂ P557 120 C6-HSDAVFTEQY(OMe)TOrnLRK(WPEG40K)QLAA buAibOrnYLQAibIOrnOrnGGPSSGAPPPS-NH₂ P560 121 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnY LQSIOrnOrnC(PEG40K)GGPSSGAPPPS-NH₂ P562 122 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSIOrnOrnC(PEG20K)GGPSSGAPPPC(PEG20 K)-NH₂ P564 123 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibIOrnOrnC(PEG40K)GGPSSGAPPPS-NH₂ P566 124 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQSIOrnOrnC(PEG40K)GGPSSGAPPPS-NH₂ P572 125 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQSIOrnOrnC(PEG20K)GGPSSGAPPPC(PEG20 K)-NH₂ P574 126 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nY(OMe)LQAibIOrnOrnGGPSSGAPPPC(PEG20K) C(PEG20K)-NH₂ P576 127 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nY(OMe)LQAibIOrnC(PEG40K)OrnGGPSSGAPPP S-NH₂ P578 128 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG40K)A AbUAibOrnY(OMe)LQAibIOrnOrnGGPSSGAPPP S-NH₂ P580 129 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibIOrnOrnC(PEG20K)GGPSSGAPPPC(PEG 20K)-NH₂ P582 130 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nY(OMe)LQSIOrnOrnGGPSSGAPPPC(PEG20K)C (PEG20K)-NH₂ P584 131 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nY(OMe)LQSIOrnC(PEG40K)OrnGGPSSGAPPPS- NH₂ P586 132 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG40K)A AbuAibOrnY(OMe)LQSIOrnOrnGGPSSGAPPPS- NH₂ P588 133 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nY(OMe)LQSIOrnC(PEG20K)OrnGGPSSGAPPPC (PEG20K)-NH₂ P590 134 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAbuAAibOr nYLQSIOrnOrnGGPSSGAPPPC(PEG20K)C(PEG20 K)-NH₂ P597 135 C6-HSDAVFTEQY(OMe)TOrnLRAibQK(CO(CH₂)₂ SPEG20K)AAbuAibOrnYLQAibIOrnOrnGGPSSGA YPPC(PEG20K)-NH₂ P599 136 C6-HSDAVFTEQY(OMe)TOrnLRAibQK(CO(CH₂)₂ SPEG40K)AAbuAibOrnYLQAibIOrnOrnGGPSSGA PPPS-NH₂ P601 137 C6-HSDAVFTEQY(OMe)TOrnLRAibQK(WPEG40K) AAbuAibOrnYLQAibIOrnOrnGGPSSGAPPPS-NH₂ P469 139 C6-HSDAVFTEK(CO(CH₂)₂SPEG20K)Y(OMe)TOr nLRAibQVAAAibOrnYLQSIOrnOrnGGPSSGAPPP S-NH₂ P486 140 C6-HSDAVFTEQY(OMe)TOrnLRK(CO(CH₂)₂SPEG 20K)QVAAAibOrnYLQSIOrnOrnGGPSSGAPPPS- NH₂ P553 141 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibIOrnC(PEG20K)OrnGGPSSGAPPPC(PEG 20K)-NH₂ P570 144 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYLQAibIOrnOrnGGPSSGAPPPC(PEG30K)C(PEG 30K)-NH₂ P595 146 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG20K)A AbuAibOrnYLQAibIOrnOrnGGPSSGAPPPC(PEG 20K)-NH₂ P476 147 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAK(CO (CH₂)₂SPEG20K)OrnYLQSIOrnOrnGGPSSGAPPP S-NH₂ P602 148 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYAibQSIOrnOrnGGPSSGAPPPC(PEG30K)C(PEG 30K)-NH₂

It is more preferred that the PEGylated VPAC2 receptor peptide agonist according to the first aspect of the present invention comprises an amino acid sequence selected from: SEQ ID NO: 47, 64, 66, 115, 119, 122, 126, 130 and 144.

According to a second aspect of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising an amino acid sequence selected from:

SEQ Agonist ID # NO Sequence P470 75 C6-HSDAVFTEQY(OMe)TOrnK(CO(CH₂)₂SPEG20 K)RAibQVAAAibOrnYLQSIOrnOrnGGPSSGAPPP S-NH₂ P490 76 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LK(CO(CH₂)₂SPEG20K)SIOrnOrnGGPSSGAPPPC (PEG20K)-NH₂ P492 77 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAK(CO (CH₂)₂SPEG20K)AibOrnYLQSIOrnOrnGGPSSGA PPPC(PEG20K)-NH₂ P495 78 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQK(CO(CH₂)₂SPEG20K)IOrnOrnGGPSSGAPPPC (PEG20K)-NH₂ P497 79 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSK(CO(CH₂)₂SPEG20K)OrnOrnGGPSSGAPPPC (PEG20K)-NH₂ P499 80 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSIOrnK(CO(CH₂)₂SPEG20K)OrnGGPSSGAPPP C(PEG20K)-NH₂ P501 81 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LC(PEG20K)SIOrnOrnGGPSSGAPPPC(PEG20K)- NH₂ P503 82 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSC(PEG20K)OrnOrnGGPSSGAPPPC(PEG20K)- NH₂ P505 83 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSIOrnC(PEG20K)OrnGGPSSGAPPPC(PEG20 K)-NH₂ P402 138 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY LQSIOrnOrnGGPSSGAPPPK(W-PEG40K)-NH₂ P558 142 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG20K)A AAibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂ P568 143 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG20K)A AAibOrnYLQSIOrnOrnGGPSSGAPPPC(PEG20K)- NH₂ P593 145 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOr nYAibQAibIOrnOrnGGPSSGAPPPK(WPEG40K)- NH₂

It is more preferred that the PEGylated VPAC2 receptor peptide agonist according to the second aspect of the present invention comprises the amino acid sequence SEQ ID NO: 80 or SEQ ID NO: 83.

According to a third aspect of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising an amino acid sequence of the formula:

Formula 4 (SEQ ID NO: 4) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Thr-Xaa₈-Xaa₉-Xaa₁₀- Thr-Xaa₁₂-Xaa₁₃-Xaa₁₄-Xaa₁₅-Xaa₁₆-Xaa₁₇-Xaa₁₈-Abu- Xaa₂₀-Xaa₂₁-Xaa₂₂-Xaa₂₃-Xaa₂₄-Xaa₂₅-Xaa₂₆-Xaa₂₇- Xaa₂₈-Xaa₂₉-Xaa₃₀-Xaa₃₁-Xaa₃₂-Xaa₃₃-Xaa₃₄-Xaa₃₅- Xaa₃₆-Xaa₃₇-Xaa₃₈-Xaa₃₉-Xaa₄₀ wherein: Xaa₁ is: His, dH, or is absent;

Xaa₂ is: dA, Ser, Val, Gly, Thr, Leu, dS, Pro, or Aib; Xaa₃ is: Asp or Glu; Xaa₄ is: Ala, Ile, Tyr, Phe, Val, Thr, Leu, Trp, Gly, dA, Aib, or NMeA; Xaa₅ is: Val, Len, Phe, Ile, Thr, Trp, Tyr, dV, Aib, or NMeV; Xaa₆ is: Phe, Ile, Leu, Thr, Val, Trp, or Tyr; Xaa₈ is: Asp, Glu, Ala, Lys, Leu, Arg, or Tyr; Xaa₉ is: Asn, Gln, Asp, Glu, Ser, Cys, Lys, or K(CO(CH₂)₂SH); Xaa₁₀ is: Tyr, Trp, Tyr(OMe), Ser, Cys, or Lys;

Xaa₁₂ is: Arg, Lys, Glu, hR, Orn, Lys (isopropyl), Aib, Cit, Ala, Leu, Gln, Phe, Ser, or Cys;

Xaa₁₃ is: Leu, Phe, Glu, Ala, Aib, Ser, Cys, Lys, or K(CO(CH₂)₂SH);

Xaa₁₄ is: Arg, Leu, Lys, Ala, hR, Orn, Lys (isopropyl), Phe, Gln, Aib, Cit, Ser, or Cys; Xaa₁₅ is: Lys, Ala, Arg, Glu, Len, hR, Orn, Lys (isopropyl), Phe, Gln, Aib, K(Ac), Cit, Ser, Cys, K(W), or K(CO(CH₂)₂SH); Xaa₁₆ is: Gln, Lys, Glu, Ala, hR, Orn, Lys (isopropyl), Cit, Ser, Cys, K(CO(CH₂)₂SH), or K(W);

Xaa₁₇ is: Val, Ala, Len, Ile, Met, Nle, Lys, Aib, Ser, Cys, K(CO(CH₂)₂SH), or K(W); Xaa₁₈ is: Ala, Ser, Cys, Lys, K(CO(CH₂)₂SH), K(W), Abu, or Nle;

Xaa₂₀ is: Lys, Gln, hR, Arg, Ser, His, Orn, Lys (isopropyl), Ala, Aib, Trp, Thr, Leu, Ile, Phe, Tyr, Val, K(Ac), Cit, Cys, K(CO(CH₂)₂SH), or K(W);

Xaa₂₁ is: Lys, His, Arg, Ala, Phe, Aib, Leu, Gln, Orn, hR, K(Ac), Cit, Ser, Cys, Val, Tyr, Ile, Thr, Trp, K(W), or K(CO(CH₂)₂SH); Xaa₂₂ is: Tyr, Trp, Phe, Thr, Leu, Ile, Val, Tyr(OMe), Ala, Aib, Ser, Cys, Lys, K(W), or K(CO(CH₂)₂SH); Xaa₂₃ is: Leu, Phe, Ile, Ala, Trp, Thr, Val, Aib, Ser, Cys, Lys, K(W), or K(CO(CH₂)₂SH); Xaa₂₄ is: Gln, Glu, Asn, Ser, Cys, Lys, K(CO(CH₂)₂SH), or K(W); Xaa₂₅ is: Ser, Asp, Phe, Ile, Leu, Thr, Val, Trp, Gln, Asn, Tyr, Aib, Glu, Cys, Lys, K(CO(CH₂)₂SH), or K(W); Xaa₂₆ is: Ile, Leu, Thr, Val, Tip, Tyr, Phe, Aib, Ser, Cys, Lys, K(CO(CH₂)₂SH), or K(W);

Xaa₂₇ is: Lys, hR, Arg, Gln, Ala, Asp, Glu, Phe, Gly, His, Ile, Met, Asn, Pro, Ser, Thr, Val, Trp, Tyr, Lys (isopropyl), Cys, Leu, Orn, dK, K(W), or K(CO(CH₂)₂SH);

Xaa₂₈ is: Asn, Asp, Gln, Lys, Arg, Aib, Orn, hR, Cit, Pro, dK, Ser, Cys, K(CO(CH₂)₂SH), or K(W);

Xaa₂₉ is: Lys, Ser, Arg, Asn, hR, Ala, Asp, Glu, Phe, Gly, His, Ile, Leu, Met, Pro, Gln, Thr, Val, Trp, Tyr, Cys, Orn, Cit, Aib, K(W), K(CO(CH₂)₂SH), or is absent; Xaa₃₀ is: Arg, Lys, Ile, Ala, Asp, Glu, Phe, Gly, His, Leu, Met, Asn, Pro, Gln, Ser, Thr, Val, Trp, Tyr, Cys, hR, Cit, Aib, Orn, K(W), K(CO(CH₂)₂SH), or is absent; Xaa₃₁ is: Tyr, His, Phe, Thr, Cys, Ser, Lys, Gln, K(W), K(CO(CH₂)₂SH), or is absent; Xaa₃₂ is: Ser, Cys, Lys, or is absent; Xaa₃₃ is: Trp or is absent; Xaa₃₄ is: Cys or is absent; Xaa₃₅ is: Glu or is absent; Xaa₃₆ is: Pro or is absent; Xaa₃₇ is: Gly or is absent; Xaa₃₈ is: Trp or is absent; Xaa₃₉ is: Cys or is absent; and Xaa₄₀ is: Arg or is absent

wherein if Xaa₂₉, Xaa₃₀, Xaa₃₁, Xaa₃₂, Xaa₃₃, Xaa₃₄, Xaa₃₅, Xaa₃₆, Xaa₃₇, Xaa₃₈, or Xaa₃₉ is absent, the next amino acid present downstream is the next amino acid in the peptide agonist sequence,

and a C-terminal extension wherein the N-terminus of the C-terminal extension is linked to the C-terminus of the peptide of Formula 4 and wherein the C-terminal extension comprises an amino acid sequence of the formula:

Formula 3 (SEQ ID NO: 3) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Xaa₇-Xaa₈-Xaa₉- Xaa₁₀-Xaa₁₁-Xaa₁₂ wherein: Xaa₁ is: Gly, Cys, or absent; Xaa₂ is: Gly, Arg, or absent; Xaa₃ is: Pro, Thr, or absent; Xaa₄ is: Ser, or absent; Xaa₅ is: Ser, or absent; Xaa₆ is: Gly, or absent; Xaa₇ is: Ala, or absent; Xaa₈ is: Pro, or absent; Xaa₉ is: Pro, or absent; Xaa₁₀ is: Pro, or absent; Xaa₁₁ is: Ser, Cys, or absent; and Xaa₁₂ is: Cys, or absent;

wherein at least five of Xaa₁ to Xaa₁₂ of the C-terminal extension are present and wherein if Xaa₁, Xaa₂, Xaa₃, Xaa₄, Xaa₅, Xaa₆, Xaa₇, Xaa₈, Xaa₉, Xaa₁₀, or Xaa₁₁ is absent, the next amino acid present downstream is the next amino acid in the C-terminal extension and wherein the C-terminal amino acid may be amidated,

and wherein;

the peptide agonist comprises at least one Cys residue which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one Lys residue which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one K(W) which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one K(CO(CH₂)₂SH) which is covalently attached to a PEG molecule, or

the carboxy-terminal amino acid of the peptide agonist is covalently attached to a PEG molecule, or

a combination thereof.

Preferably, the PEGylated VPAC2 receptor peptide agonist of the third aspect of the present invention comprises a sequence of the Formula 4 (SEQ ID NO: 4) wherein Xaa₃ is Asp or Glu, Xaa₈ is Asp or Glu, Xaa₉ is Asn or Gln, Xaa₁₀ is Tyr or Tyr(OMe), Xaa₁₂ is Arg, hR, Lys, or Orn, Xaa₁₄ is Arg, Gin, Aib, hR, Orn, Cit, Lys, Ala, or Leu, Xaa₁₅ is Lys, Aib, Orn, or Arg, Xaa₁₆ is Gln or Lys, Xaa₁₇ is Val, Leu, Ala, Ile, Lys, or Nle, Xaa₂₀ is Lys, Val, Leu, Aib, Ala, Gln, or Arg, Xaa₂₁ is Lys, Aib, Orn, Ala, Gln, or Arg, Xaa₂₃ is Leu or Aib, Xaa₂₅ is Ser or Aib, Xaa₂₇ is Lys, Orn, hR, or Arg, Xaa₂₈ is Asn, Gln, Lys, hR, Aib, Orn, or Pro and Xaa₂₉ is Lys, Orn, hR, or is absent.

Preferably, the PEGylated VPAC2 receptor peptide agonist of the third aspect of the present invention comprises a sequence of the Formula 4 (SEQ ID NO: 4), wherein either Xaa₂₃ or Xaa₂₅ is Aib. Even more preferably, Xaa₂₃ and Xaa₂₅ are both Aib.

Preferably, the PEGylated VPAC2 receptor peptide agonist of the third aspect of the present invention comprises a sequence of the Formula 4 wherein either Xaa₁₄ or Xaa₁₅ is Aib.

Alternatively, the PEGylated VPAC2 receptor peptide agonist of the third aspect of the present invention comprises a sequence of the Formula 4 wherein either Xaa₂₀ or Xaa₂₁ is Aib.

More preferably, either Xaa₁₄ or Xaa₁₅ is Aib and either Xaa₂₀ or Xaa₂₁ is Aib. It is especially preferred that Xaa₁₅ is Aib and Xaa₂₀ is Aib.

Preferably, the PEGylated VPAC2 receptor peptide agonist of the third aspect of the present invention comprises a sequence of the Formula 4 wherein Xaa₁₅ is Aib, Xaa₂₀ is Aib, and Xaa₁₂, Xaa₂₁, Xaa₂₇ and Xaa₂₈ are all Orn. More preferably, Xaa₁₅ is Aib, Xaa₂₀ is Aib, Xaa₁₂, Xaa₂₁, Xaa₂₇ and Xaa₂₈ are all Orn, Xaa₈ is Glu, Xaa₉ is Gln and Xaa₁₀ is Tyr(OMe). Even more preferably, Xaa₁₅ is Aib, Xaa₂₀ is Aib, Xaa₁₂, Xaa₂₁, Xaa₂₇ and Xaa₂₈ are all Orn, Xaa₈ is Glu, Xaa₉ is Gln, Xaa₁₀ is Tyr(OMe), and Xaa₂₃ and/or Xaa₂₅ is Aib. Any one or more of Xaa₈, Xaa₉, Xaa₁₀, Xaa₁₂, Xaa₁₅, Xaa₂₀, Xaa₂₁, Xaa₂₃, Xaa₂₅, Xaa₂₇ and Xaa₂₈ may be a PEGylated Lys, Cys, K(CO(CH₂)₂SH) or K(W), whilst all the other positions have the preferred amino acid substitutions as described.

Preferably, at least six of Xaa₁ to Xaa₁₂ of the C-terminal extension of Formula 3 is present. More preferably, seven, eight, nine, ten, eleven, or all of Xaa₁ to Xaa₁₂ of the C-terminal extension are present.

Preferably, the C-terminal extension of the PEGyated VPAC2 receptor peptide agonist according to the third aspect of the present invention is selected from: SEQ ID NO: 5, 6, 7, 8, 9, 10, 11 and 12.

More preferably, the C-terminal extension of the PEGyated VPAC2 receptor peptide agonist according to the third aspect of the present invention is SEQ ID NO: 11 or SEQ ID NO: 12.

A PEG molecule(s) may be covalently attached to any Lys, Cys, K(W) or K(CO(CH₂)₂SH) residue at any position in the VPAC2 receptor peptide agonist according to the third aspect of the present invention. The C-terminal extension may comprise one or more Cys residues which may be PEGylated. Where the sequence according to Formula 4 comprises one or more Lys, Cys, K(W), or K(CO(CH₂)₂SH) residues and the C-terminal extension comprises one or more Cys residues, there may be one or more PEGylated residues in either or both sequences.

Preferably, there is at least one PEG molecule covalently attached to a residue in Formula 4. More preferably, there is a PEG molecule covalently attached to a residue at one or more of the following positions of Formula 4: 9, 13, 15, 16, 17, 18, 20, 21, 24, 25, 26 and 28.

Preferably, there is at least one PEG molecule covalently attached to a residue in the C-terminal extension of the VPAC2 receptor peptide agonist.

Where there is more than one PEG molecule, there may be a combination of Lys, Cys, K(CO(CH₂)₂SH), K(W) and carboxy-terminal amino acid PEGylation. For example, if there are two PEG molecules, one may be attached to a Lys residue and one may be attached to a Cys residue.

Preferably, the PEG molecule is branched. Alternatively, the PEG molecule may be linear.

Preferably, the PEG molecule is between 1,000 daltons and 100,000 daltons in molecular weight. More preferably, the PEG molecule is selected from 10,000, 20,000, 30,000, 40,000, 50,000 and 60,000 daltons. Even more preferably, it is selected from 20,000, 30,000, 40,000, or 60,000 daltons. Where there are two PEG molecules covalently attached to the peptide agonist of the present invention, each is 1,000 to 40,000 daltons and preferably, they have molecular weights of 20,000 and 20,000 daltons, 10,000 and 30,000 daltons, 30,000 and 30,000 daltons, or 20,000 and 40,000 daltons.

Preferably, the PEGylated VPAC2 receptor peptide agonist of the third aspect of the present invention further comprises a N-terminal modification at the N-terminus of the peptide agonist wherein the N-terminal modification is selected from:

-   -   (a) addition of D-histidine, isoleucine, methionine, or         norleucine;     -   (b) addition of a peptide comprising the sequence         Ser-Trp-Cys-Glu-Pro-Gly-Trp-Cys-Arg (SEQ ID NO: 93) wherein the         Arg is linked to the N-terminus of the peptide agonist;     -   (c) addition of C₁-C₁₆ alkyl optionally substituted with one or         more substituents independently selected from aryl, C₁-C₆         alkoxy, —NH₂, —OH, halogen and —CF₃;     -   (d) addition of —C(O)R¹ wherein R¹ is a C₁-C₁₆ alkyl optionally         substituted with one or more substituents independently selected         from aryl, C₁-C₆ alkoxy, —NH₂, —OH, halogen, —SH and —CF₃; an         aryl optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; and aryl         C₁-C₄ alkyl optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; —NR²R³         wherein R² and R³ are independently hydrogen, C₁-C₆ alkyl, aryl         or aryl C₁-C₄ alkyl; —OR⁴ wherein R⁴ is C₁-C₁₆ alkyl optionally         substituted with one or more substituents independently selected         from aryl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃, aryl         optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃ or aryl C₁-C₄         alkyl optionally substituted with one or more substituents         independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; or         5-pyrrolidin-2-one;     -   (e) addition of —SO₂R⁵ wherein R⁵ is aryl, aryl C₁-C₄ alkyl or         C₁-C₁₆ alkyl;     -   (f) formation of a succinimide group optionally substituted with         C₁-C₆ alkyl or —SR⁶ wherein R⁶ is hydrogen or C₁-C₆ alkyl;     -   (g) addition of methionine sulfoxide;     -   (h) addition of biotinyl-6-aminohexanoic acid (6-aminocaproic         acid); and     -   (i) addition of —C(═NH)—NH₂.

Preferably, the N-terminal modification is the addition of a group selected from: acetyl, propionyl, butyryl, pentanoyl, hexanoyl, methionine, methionine sulfoxide, 3-phenylpropionyl, phenylacetyl, benzoyl, norleucine, D-histidine, isoleucine, 3-mercaptopropionyl, biotinyl-6-aminohexanoic acid (6-aminocaproic acid), and —C(═NH)—NH₂. It is especially preferred that the N-terminal modification is the addition of acetyl or hexanoyl.

It will be appreciated by the person skilled in the art that PEGylated VPAC2 receptor peptide agonists comprising various combinations of peptide sequence according to Formula 4, C-terminal extensions and N-terminal modifications as described herein, may be made based on the above disclosure.

It is preferred that the PEGylated VPAC2 receptor peptide agonist according to the third aspect of the present invention comprises an amino acid sequence selected from: SEQ ID NO: 59, 62, 64, 65, 66, 71, 72, 73, 74, 115, 116, 117, 118, 119, 120, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 135, 136, 137, 141, 144, 146 and 148.

According to a fourth aspect of the present invention, there is provided a pharmaceutical composition comprising a PEGylated VPAC2 receptor peptide agonist of the present invention and one or more pharmaceutically acceptable diluents, carriers and/or excipients.

According to a fifth aspect of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist of the present invention for use as a medicament.

According to a sixth aspect of the present invention, there is provided the use of a PEGylated VPAC2 receptor peptide agonist of the present invention for the manufacture of a medicament for the treatment non-insulin-dependent diabetes.

According to a further aspect of the present invention, there is provided the use of a PEGylated VPAC2 receptor peptide agonist of the present invention for the manufacture of a medicament for the treatment insulin-dependent diabetes.

The present invention provides a method of treating diabetes in a patient in need thereof comprising administering a PEGylated VPAC2 receptor peptide agonist of the present invention, wherein the diabetes may be non-insulin dependent diabetes or may be insulin-dependent diabetes.

The present invention further provides a pharmaceutical composition containing a PEGylated VPAC2 receptor peptide agonist of the present invention for treating non-insulin dependent diabetes or insulin-dependent diabetes.

According to an alternative embodiment of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising a sequence selected from SEQ ID NO: 17 to 45 and 94 to 112;

and a C-terminal extension wherein the N-terminus of the C-terminal extension is linked to the C-terminus of the peptide sequence and wherein the C-terminal extension comprises an amino acid sequence of the formula:

Formula 1 (SEQ ID NO: 1) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Xaa₇-Xaa₈-Xaa₉- Xaa₁₀-Xaa₁₁-Xaa₁₂-Xaa₁₃ wherein: Xaa₁ is: Gly, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₂ is: Gly, Arg, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₃ is: Pro, Thr, Ser, Ala, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₄ is: Ser, Pro, His, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₅ is: Ser, Arg, Thr, Trp, Lys, Cys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₆ is: Gly, Ser, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₇ is: Ala, Asp, Arg, Glu, Lys, Gly, Cys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₈ is: Pro, Ser, Ala, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₉ is: Pro, Ser, Ala, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₁₀ is: Pro, Ser, Ala, Arg, Lys, His, Cys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₁₁ is: Ser, Cys, His, Pro, Lys, Arg, K(W), K(CO(CH₂)₂SH), or absent; Xaa₁₂ is: His, Ser, Arg, Lys, Cys, K(W), K(CO(CH₂)₂SH), or absent; and Xaa₁₃ is: His, Ser, Arg, Lys, Cys, K(W), K(CO(CH₂)₂SH), or absent;

provided that if Xaa₁, Xaa₂, Xaa₃, Xaa₄, Xaa₅, Xaa₆, Xaa₇, Xaa₈, Xaa₉, Xaa₁₀, Xaa₁₁, or Xaa₁₂ is absent, the next amino acid present downstream is the next amino acid in the C-terminal extension and wherein the C-terminal amino acid may be amidated,

and wherein;

the peptide agonist comprises at least one Cys residue which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one Lys residue which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one K(W) which is covalently attached to a PEG molecule, or

the peptide agonist comprises at least one K(CO(CH₂)₂SH) which is covalently attached to a PEG molecule, or

the carboxy-terminal amino acid of the peptide agonist is covalently attached to a PEG molecule, or

a combination thereof.

It is preferable that the C-terminal extension of Formula 1 has no more than three of any one of the following; Cys, Lys, K(W) or K(CO(CH₂)₂SH). It is more preferable that the C-terminal extension has no more than two of any of these residues. If there are two Cys residues in the C-terminal extension, it is preferred that the Cys residues are at the C-terminus. It is even more preferable that the C-terminal extension has no more than one of any of these residues. If there is only one Cys residue in the C-terminal extension, it is preferred that the Cys residue is at the C-terminus.

Preferably, the C-terminal extension of the PEGylated VPAC2 receptor peptide agonist according to the above alternative embodiment comprises an amino acid sequence of the formula:

Formula 2 (SEQ ID NO: 2) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Xaa₇-Xaa₈-Xaa₉- Xaa₁₀-Xaa₁₁-Xaa₁₂-Xaa₁₃ wherein: Xaa₁ is: Gly, Cys, Lys, or absent; Xaa₂ is: Gly, Arg, Cys, Lys, or absent; Xaa₃ is: Pro, Thr, Ser, Ala, Cys, Lys, or absent; Xaa₄ is: Ser, Pro, His, Cys, Lys, or absent; Xaa₅ is: Ser, Arg, Thr, Trp, Lys, Cys, or absent; Xaa₆ is: Gly, Ser, Cys, Lys, or absent; Xaa₇ is: Ala, Asp, Arg, Glu, Lys, Gly, Cys, or absent; Xaa₈ is: Pro, Ser, Ala, Cys, Lys, or absent; Xaa₉ is: Pro, Ser, Ala, Cys, Lys, or absent; Xaa₁₀ is: Pro, Ser, Ala, Arg, Lys, His, Cys, or absent; Xaa₁₁ is: Ser, Cys, His, Pro, Lys, Arg, or absent; Xaa₁₂ is: His, Ser, Arg, Lys, Cys, or absent; and Xaa₁₃ is: His, Ser, Arg, Lys, Cys, or absent;

provided that if Xaa₁, Xaa₂, Xaa₃, Xaa₄, Xaa₅, Xaa₆, Xaa₇, Xaa₈, Xaa₉, Xaa₁₀, Xaa₁₁, or Xaa₁₂ is absent, the next amino acid present downstream is the next amino acid in the C-terminal extension and wherein the C-terminal amino acid may be amidated.

Preferably, at least one of Xaa₁ to Xaa₁₃ of the C-terminal extension of Formula 1 or 2 is present. More preferably, at least two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, or all of Xaa₁ to Xaa₁₃ of the C-terminal extension are present.

More preferably, the C-terminal extension of the PEGylated VPAC2 receptor peptide agonist according to the above alternative embodiment comprises an amino acid sequence of the formula:

Formula 3 (SEQ ID NO: 3) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Xaa₇-Xaa₈-Xaa₉- Xaa₁₀-Xaa₁₁-Xaa₁₂ wherein: Xaa₁ is: Gly, Cys, or absent; Xaa₂ is: Gly, Arg, or absent; Xaa₃ is: Pro, Thr, or absent; Xaa₄ is: Ser, or absent; Xaa₅ is: Ser, or absent; Xaa₆ is: Gly, or absent; Xaa₇ is: Ala, or absent; Xaa₈ is: Pro, or absent; Xaa₉ is: Pro, or absent; Xaa₁₀ is: Pro, or absent; Xaa₁₁ is: Ser, Cys, or absent; and Xaa₁₂ is: Cys, or absent;

provided that if Xaa₁, Xaa₂, Xaa₃, Xaa₄, Xaa₅, Xaa₆, Xaa₇, Xaa₈, Xaa₉, Xaa₁₀, or Xaa₁ is absent, the next amino acid present downstream is the next amino acid in the C-terminal extension and wherein the C-terminal amino acid may be amidated.

Preferably, at least one of Xaa₁ to Xaa₁₂ of the C-terminal extension of Formula 3 is present. More preferably, at least two, three, four, five, six, seven, eight, nine, ten, eleven, or all of Xaa₁ to Xaa₁₂ of the C-terminal extension are present.

An alternative C-terminal extension, which may be used in any of the aspects and embodiments of the present invention, comprises an amino acid sequence of the formula:

Formula 13 (SEQ ID NO: 13) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Xaa₇-Xaa₈-Xaa₉-Xaa₁₀ wherein: Xaa₁ is: Ser, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₂ is: Arg, Ser, hR, Orn, His, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent, Xaa₃ is: Thr, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₄ is: Ser, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₅ is: Pro, Ser, Ala, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₆ is: Pro, Ser, Ala, Arg, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₇ is: Pro, Ser, Ala, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; Xaa₈ is: Lys, K(W), Pro, Cys, K(CO(CH₂)₂SH), or absent; Xaa₉ is: K(E-Cl₆), Ser, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent; and Xaa₁₀ is: Ser, Cys, Lys, K(W), K(CO(CH₂)₂SH), or absent.

It is preferred that if Xaa₁, Xaa₂, Xaa₃, Xaa₄, Xaa₅, Xaa₆, Xaa₇, Xaa₈ or Xaa₉ of Formula 13 is absent, the next amino acid downstream is the next amino acid in the C-terminal extension. The C-terminal amino acid may be amidated.

Preferably, at least one of Xaa₁ to Xaa₁₀ of the C-terminal extension of Formula 13 is present. More preferably, at least two, three, four, five, six, seven, eight, nine or all of Xaa₁ to Xaa₁₀ of the C-terminal extension are present.

More preferably, an alternative C-terminal extension, which may be used in any of the aspects and embodiments of the present invention, is selected from:

SEQ ID NO: 85 SRTSPPP SEQ ID NO: 86 SRTSPPP-NH₂ SEQ ID NO: 87 SSTSPRPPSS SEQ ID NO: 88 SSTSPRPPSS-NH₂ SEQ ID NO: 89 SRTSPPPK(W) SEQ ID NO: 90 SRTSPPPK(W)-NH₂ SEQ ID NO: 91 SRTSPPPC SEQ ID NO: 92 SRTSPPPC-NH₂

The VPAC2 receptor peptide agonists of the present invention have the advantage that they have enhanced selectivity, potency and/or stability over known VPAC2 receptor peptide agonists. In particular, the addition of the C-terminal sequence of Exendin-4, or a variant of this C-terminal sequence, as the c-capping sequence surprisingly increased the VPAC2 receptor selectivity as well as increasing proteolytic stability.

The covalent attachment of one or more molecules of PEG to particular residues of a VPAC2 receptor peptide agonist results in a biologically active, PEGylated VPAC2 receptor peptide agonist with an extended half-life and reduced clearance when compared to that of non-PEGylated VPAC2 receptor peptide agonists.

The term “VPAC2” is used to refer to and in conjunction with the particular receptor (Lutz, et al., FEBS Lett., 458: 197-203 (1999); Adamou, et al., Biochem. Biophys. Res. Commun., 209: 385-392 (1995)) that the agonists of the present invention activate. This term also is used to refer to and in conjunction with the agonists of the present invention.

A “selective VPAC2 receptor peptide agonist” or a “VPAC2 receptor peptide agonist” of the present invention is a peptide that selectively activates the VPAC2 receptor to induce insulin secretion. Preferably, the sequence for a selective VPAC2 receptor peptide agonist of the present invention has twenty-eight to forty naturally occurring and/or non-naturally occurring amino acids and may or may not additionally comprise a C-terminal extension.

A “selective PEGylated VPAC2 receptor peptide agonist” or a “PEGylated VPAC2 receptor peptide agonist” is a selective VPAC2 receptor peptide agonist covalently attached to one or more molecules of polyethylene glycol (PEG), or a derivative thereof, wherein each PEG is attached to a cysteine or lysine amino acid, to a K(W) or K(CO(CH₂)₂SH), or to the carboxy terminus of a peptide.

Selective PEGylated VPAC2 receptor peptide agonists may have a C-terminal extension. The “C-terminal extension” of the present invention comprises a sequence having from one to thirteen naturally occurring or non-naturally occurring amino acids linked to the C-terminus of the sequence at the N-terminus of the C-terminal extension via a peptide bond. Any Cys, Lys, K(W), or K(CO(CH₂)₂SH) residues in the C-terminal extension may be covalently attached to a PEG molecule, and/or the carboxy-terminal amino acid of the C-terminal extension may be covalently attached to a PEG molecule.

As used herein, the term “linked to” with reference to the term C-terminal extension, includes the addition or attachment of amino acids or chemical groups directly to the C-terminus of the peptide sequence.

Optionally, the selective PEGylated VPAC2 receptor peptide agonist may also have an N-terminal modification. The term “N-terminal modification” as used herein includes the addition or attachment of amino acids or chemical groups directly to the N-terminus of a peptide and the formation of chemical groups, which incorporate the nitrogen at the N-terminus of a peptide.

The N-terminal modification may comprise the addition of one or more naturally occurring or non-naturally occurring amino acids to the VPAC2 receptor peptide agonist sequence, preferably there are not more than ten amino acids, with one amino acid being more preferred. Naturally occurring amino acids which may be added to the N-terminus include methionine and isoleucine. A modified amino acid added to the N-terminus may be D-histidine. Alternatively, the following amino acids may be added to the N-terminus: SEQ ID NO: 93 Ser-Trp-Cys-Glu-Pro-Gly-Trp-Cys-Arg, wherein the Arg is linked to the N-terminus of the peptide agonist. Preferably, any amino acids added to the N-terminus are linked to the N-terminus by a peptide bond.

The term “linked to” as used herein, with reference to the term N-terminal modification, includes the addition or attachment of amino acids or chemical groups directly to the N-terminus of the VPAC2 receptor agonist. The addition of the above N-terminal modifications may be achieved under normal coupling conditions for peptide bond formation.

The N-terminus of the peptide agonist may also be modified by the addition of an alkyl group (R), preferably a C₁-C₁₆ alkyl group, to form (R)NH—.

Alternatively, the N-terminus of the peptide agonist may be modified by the addition of a group of the formula —C(O)R¹ to form an amide of the formula R¹C(O)NH—. The addition of a group of the formula —C(O)R¹ may be achieved by reaction with an organic acid of the formula R¹COOH. Modification of the N-terminus of an amino acid sequence using acylation is demonstrated in the art (e.g. Gozes et al., J. Pharmacol Exp Ther, 273:161-167 (1995)). Addition of a group of the formula —C(O)R¹ may result in the formation of a urea group (see WO 01/23240, WO 2004/06839) or a carbamate group at the N-terminus. Also, the N-terminus may be modified by the addition of pyroglutamic acid, or 6-aminohexanoic acid.

The N-terminus of the peptide agonist may be modified by the addition of a group of the formula —SO₂R⁵, to form a sulfonamide group at the N-terminus.

The N-terminus of the peptide agonist may also be modified by reacting with succinic anhydride to form a succinimide group at the N-terminus. The succinimide group incorporates the nitrogen at the N-terminus of the peptide.

The N-terminus may alternatively be modified by the addition of methionine sulfoxide, biotinyl-6-aminohexanoic acid, or —C(═NH)—NH₂. The addition of —C(═NH)—NH₂ is a guanidation modification, where the terminal NH₂ of the N-terminal amino acid becomes —NH—C(═NH)—NH₂-Most of the sequences of the present invention, including the N-terminal modifications and the C-terminal extensions contain the standard single letter or three letter codes for the twenty naturally occurring amino acids. The other codes used are defined as follows:

-   -   C6=hexanoyl     -   d=the D isoform (nonnaturally occurring) of the respective amino         acid, e.g., dA=D-alanine, dS=D-serine, dK=D-lysine     -   hR=homoarginine     -   Aib=amino isobutyric acid     -   OMe=methoxy     -   Nle=Nor-leucine     -   NMe=N-methyl attached to the alpha amino group of an amino acid,         e.g., NMeA=N-methyl alanine, NMeV=N-methyl valine     -   Orn=ornithine     -   K(CO(CH₂)₂SH)=ε-(3′-mercaptopropionyl)-lysine     -   K(W)=ε-(L-tryptophyl)-lysine     -   Abu=α-amino-n-butyric acid or 2-aminobutanoic acid     -   Cit=citrulline     -   K(Ac)=ε-acetyl lysine     -   PEG=polyethylene glycol     -   PEG40K=40,000 Dalton PEG molecule     -   PEG30K=30,000 Dalton PEG molecule     -   PEG20K=20,000 Dalton PEG molecule

VIP naturally occurs as a single sequence having 28 amino acids. However, PACAP exists as either a 38 amino acid peptide (PACAP-38) or as a 27 amino acid peptide (PACAP-27) with an amidated carboxyl (Miyata, et al., Biochem Biophys Res Commun, 170:643-648 (1990)). The sequences for VIP, PACAP-27, and PACAP-38 are as follows:

Peptide Seq.ID Sequence VIP SEQ ID HSDAVFTDNYTRLRKQMAVKKYLNSILN NO: 14 PACAP-27 SEQ ID HSDGIFTDSYSRYRKQMAVKKYLAAVL-NH₂ NO: 15 PACAP-38 SEQ ID HSDGIFTDSYSRYRKQMAVKKYLAAVLGKRYQRVKN NO: 16 K-NH₂

The term “naturally occurring amino acid” as used herein means the twenty amino acids coded for by the human genetic code (i.e. the twenty standard amino acids). These twenty amino acids are: Alanine, Arginine, Asparagine, Aspartic Acid, Cysteine, Glutamine, Glutamic Acid, Glycine, Histidine, Isoleucine, Leucine, Lysine, Methionine, Phenylalanine, Proline, Serine, Threonine, Tryptophan, Tyrosine and Valine.

Examples of “non-naturally occurring amino acids” include both synthetic amino acids and those modified by the body. These include D-amino acids, arginine-like amino acids (e.g., homoarginine), and other amino acids having an extra methylene in the side chain (“homo” amino acids), and modified amino acids (e.g norleucine, lysine (isopropyl)—wherein the side chain amine of lysine is modified by an isopropyl group). Also included are amino acids such as ornithine, amino isobutyric acid and 2-aminobutanoic acid.

“Selective” as used herein refers to a VPAC2 receptor peptide agonist with increased selectivity for the VPAC2 receptor compared to other known receptors. The degree of selectivity is determined by a ratio of VPAC2 receptor binding affinity to VPAC1 receptor binding affinity or by a ratio of VPAC2 receptor binding affinity to PAC1 receptor binding affinity. Binding affinity is determined as described below in Example 4.

“Insulinotropic activity” refers to the ability to stimulate insulin secretion in response to elevated glucose levels, thereby causing glucose uptake by cells and decreased plasma glucose levels. Insulinotropic activity can be assessed by methods known in the art, including using experiments that measure VPAC2 receptor binding activity or receptor activation (e.g. insulin secretion by insulinoma cell lines or islets, intravenous glucose tolerance test (IVGTT), intraperitoneal glucose tolerance test (IPGTT), and oral glucose tolerance test (OGTT)). Insulinotropic activity is routinely measured in humans by measuring insulin levels or C-peptide levels. Selective PEGylated VPAC2 receptor peptide agonists of the present invention have insulinotropic activity.

“In vitro potency” as used herein is the measure of the ability of a peptide to activate the VPAC2 receptor in a cell-based assay. In vitro potency is expressed as the “EC₅₀” which is the effective concentration of compound that results in a 50% of maximum increase in activity in a single dose-response experiment. For the purposes of the present invention, in vitro potency is determined using two different assays: DiscoveRx and Alpha Screen. See Examples 3 and 5 for further details of these assays. Whilst these assays are performed in different ways, the results demonstrate a general correlation between the two assays.

The term “plasma half-life” refers to the time in which half of the relevant molecules circulate in the plasma prior to being cleared. An alternatively used term is “elimination half-life.” The term “extended” or “longer” used in the context of plasma half-life or elimination half-life indicates there is a statistically significant increase in the half-life of a PEGylated VPAC2 receptor peptide agonist relative to that of the reference molecule (e.g., the non-PEGylated form of the peptide or the native peptide) as determined under comparable conditions. The half-life reported herein is the elimination half-life; it is that which corresponds to the terminal log-linear rate of elimination. The person skilled in the art appreciates that half-life is a derived parameter that changes as a function of both clearance and volume of distribution.

Clearance is the measure of the body's ability to eliminate a drug. As clearance decreases due, for example, to modifications to a drug, half-life would be expected to increase. However, this reciprocal relationship is exact only when there is no change in the volume of distribution. A useful approximate relationship between the terminal log-linear half-life (t_(1/2)), clearance (C), and volume of distribution (V) is given by the equation: t_(1/2)≈0.693 (V/C). Clearance does not indicate how much drug is being removed but, rather, the volume of biological fluid such as blood or plasma that would have to be completely freed of drug to account for the elimination. Clearance is expressed as a volume per unit of time.

“Percent (%) sequence identity” as used herein is used to denote sequences which when aligned have similar (identical or conservatively replaced) amino acids in like positions or regions, where identical or conservatively replaced amino acids are those which do not alter the activity or function of the protein as compared to the starting protein. For example, two amino acid sequences with at least 85% identity to each other have at least 85% similar (identical or conservatively replaced residues) in a like position when aligned optimally allowing for up to 3 gaps, with the proviso that in respect of the gaps a total of not more than 15 amino acid residues is affected.

The reference peptide used for the percentage sequence identity calculations herein is:

P487 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAib SEQ ID NO: 84 OrnYLQSIOrnOrnGGPSSGAPPPS-NH₂

Percent sequence identity may be calculated by determining the number of residues that differ between a peptide encompassed by the present invention and a reference peptide such as P487 (SEQ ID NO: 84), taking that number and dividing it by the number of amino acids in the reference peptide (e.g. 39 amino acids for P487), multiplying the result by 100, and subtracting that resulting number from 100. For example, a sequence having 39 amino acids with four amino acids that are different from P487 would have a percent (%) sequence identity of 90% (e.g. 100−((4/39)×100)). For a sequence that is longer than 39 amino acids, the number of residues that differ from the P487 sequence will include the additional amino acids over 39 for purposes of the aforementioned calculation. For example, a sequence having 40 amino acids, with four amino acids different from the 39 amino acids in the P487 sequence and with one additional amino acid at the carboxy terminus which is not present in the P487 sequence, would have a total of five amino acids that differ from P487. Thus, this sequence would have a percent (%) sequence identity of 87% (e.g. 100−((5/39)×100)). The degree of sequence identity may be determined using methods well known in the art (see, for example, Wilbur, W. J. and Lipman, D. J., Proc. Natl. Acad. Sci. USA 80:726-730 (1983) and Myers E. and Miller W., Comput. Appl. Biosci. 4:11-17 (1988)). One program which may be used in determining the degree of similarity is the MegAlign Lipman-Pearson one pair method (using default parameters) which can be obtained from DNAstar Inc, 1128, Selfpark Street, Madison, Wis., 53715, USA as part of the Lasergene system. Another program, which may be used, is Clustal W. This is a multiple sequence alignment package developed by Thompson et al (Nucleic Acids Research, 22(22):4673-4680 (1994)) for DNA or protein sequences. This tool is useful for performing cross-species comparisons of related sequences and viewing sequence conservation. Clustal W is a general purpose multiple sequence alignment program for DNA or proteins. It produces biologically meaningful multiple sequence alignments of divergent sequences. It calculates the best match for the selected sequences, and lines them up so that the identities, similarities and differences can be seen. Evolutionary relationships can be seen via viewing Cladograms or Phylograms.

The sequence for a selective PEGylated VPAC2 receptor peptide agonist of the present invention is selective for the VPAC2 receptor and preferably has a sequence identity in the range of 60% to 70%, 60% to 65%, 65% to 70%, 70% to 80%, 70% to 75%, 75% to 80%, 80% to 90%, 80% to 85%, 85% to 90%, 90% to 97%, 90% to 95%, or 95% to 97%, with P487 (SEQ ID NO: 84). Preferably, the sequence has a sequence identity of greater than 82% with P487 (SEQ ID NO: 84). More preferably, the sequence has greater than 90% sequence identity with P487 (SEQ ID NO: 84). Even more preferably, the sequence has greater than 92% sequence identity with P487 (SEQ ID NO: 84). Yet more preferably, the sequence has greater than 95% sequence identity or 97% sequence identity with P487 (SEQ ID NO: 84).

The term “C₁-C₁₆ alkyl” as used herein means a monovalent saturated straight, branched or cyclic chain hydrocarbon radical having from 1 to 16 carbon atoms or when cyclic, having from 3 to 16 carbon atoms. Thus the term “C₁-C₁₆ alkyl” includes, for example, methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl, tert-butyl, n-heptyl, n-octyl, cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl. The C₁-C₁₆ alkyl group may be optionally substituted with one or more substituents including, for example, aryl, C₁-C₆alkoxy, —OH, halogen, —CF₃ and —SH.

The term “C₁-C₆ alkyl” as used herein means a monovalent saturated straight, branched or cyclic chain hydrocarbon radical having from 1 to 6 carbon atoms or when cyclic, having from 3 to 6 carbon atoms. Thus the term “C₁-C₆ alkyl” includes, for example, methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl, tert-butyl, cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl. The C₁-C₆ alkyl group may be optionally substituted with one or more substituents.

The term “C₂-C₆ alkenyl” as used herein means a monovalent straight, branched or cyclic chain hydrocarbon radical having at least one double bond and having from 2 to 6 carbon atoms or when cyclic, having form 3 to 6 carbon atoms. Thus the term “C₂-C₆ alkenyl” includes vinyl, prop-2-enyl, but-3-enyl, pent-4-enyl and isopropenyl. The C₂-C₆ alkenyl group may be optionally substituted with one or more substituents.

The term “C₂-C₆ alkynyl” as used herein means a monovalent straight or branched chain hydrocarbon radical having at least one triple bond and having from 2 to 6 carbon atoms. Thus the term “C₂-C₆ alkynyl” includes prop-2-ynyl, but-3-ynyl and pent-4-ynyl. The C₂-C₆ alkynyl may be optionally substituted with one or more substituents.

The term “C₁-C₆ alkoxy” as used herein means a monovalent unsubstituted saturated straight-chain or branched-chain hydrocarbon radical having from 1 to 6 carbon atoms linked to the point of substitution by a divalent O radical. Thus the term “C₁-C₆ alkoxy” includes, for example, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, sec-butoxy and tert-butoxy. The C₁-C₆ alkoxy group may be optionally substituted with one or more substituents.

The term “halo” or “halogen” means fluorine, chlorine, bromine or iodine.

The term “aryl” when used alone or as part of a group is a 5 to 10 membered aromatic or heteroaromatic group including a phenyl group, a 5 or 6-membered monocyclic heteroaromatic group, each member of which may be optionally substituted with 1, 2, 3, 4 or 5 substituents (depending upon the number of available substitution positions), a naphthyl group or an 8-, 9- or 10-membered bicyclic heteroaromatic group, each member of which may be optionally substituted with 1, 2, 3, 4, 5 or 6 substituents (depending on the number of available substitution positions). Within this definition of aryl, suitable substitutions include C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, —NH₂, —OH, halogen, —SH and CF₃.

The term “aryl C₁-C₄ alkyl” as used herein means a C₁-C₄ alkyl group substituted with an aryl. Thus the term “aryl C₁-C₄ alkyl” includes benzyl, 1-phenylethyl (α-methylbenzyl), 2-phenylethyl, 1-naphthalenemethyl or 2-naphthalenemethyl.

The term “naphthyl” includes 1-naphthyl, and 2-naphthyl. 1-naphthyl is preferred.

The term “benzyl” as used herein means a monovalent unsubstituted phenyl radical linked to the point of substitution by a —CH₂— group.

The term “5- or 6-membered monocyclic heteroaromatic group” as used herein means a monocyclic aromatic group with a total of 5 or 6 atoms in the ring wherein from 1 to 4 of those atoms are each independently selected from N, O and S. Preferred groups have 1 or 2 atoms in the ring which are each independently selected from N, O and S. Examples of 5-membered monocyclic heteroaromatic groups include pyrrolyl (also called azolyl), furanyl, thienyl, pyrazolyl (also called 1H-pyrazolyl and 1,2-diazolyl), imidazolyl, oxazolyl (also called 1,3-oxazolyl), isoxazolyl (also called 1,2-oxazolyl), thiazolyl (also called 1,3-thiazolyl), isothiazolyl (also called 1,2-thiazolyl), triazolyl, oxadiazolyl, thiadiazolyl, tetrazolyl, oxatriazolyl and thiatriazolyl. Examples of 6-membered monocyclic heteroaromatic groups include pyridinyl, pyrimidyl, pyrazinyl, pyridazinyl and triazinyl.

The term “8-, 9- or 10-membered bicyclic heteroaromatic group” as used herein means a fused bicyclic aromatic group with a total of 8, 9 or 10 atoms in the ring system wherein from 1 to 4 of those atoms are each independently selected from N, O and S. Preferred groups have from 1 to 3 atoms in the ring system which are each independently selected from N, O and S. Suitable 8-membered bicyclic heteroaromatic groups include imidazo[2,1-b][1,3]thiazolyl, thieno[3,2-b]thienyl, thieno[2,3-d][1,3]thiazolyl and thieno[2,3-d]imidazolyl. Suitable 9-membered bicyclic heteroaromatic groups include indolyl, isoindolyl, benzofuranyl (also called benzo[b]furanyl), isobenzofuranyl (also called benzo[c]furanyl), benzothienyl (also called benzo[b]thienyl), isobenzothienyl (also called benzo[c]thienyl), indazolyl, benzimidazolyl, 1,3-benzoxazolyl, 1,2-benzisoxazolyl, 2,1-benzisoxazolyl, 1,3-benzothiazolyl, 1,2-benzoisothiazolyl, 2,1-benzoisothiazolyl, benzotriazolyl, 1,2,3-benzoxadiazolyl, 2,1,3-benzoxadiazolyl, 1,2,3-benzothiadiazolyl, 2,1,3-benzothiadiazolyl, thienopyridinyl, purinyl and imidazo[1,2-a]pyridine. Suitable 10-membered bicyclic heteroaromatic groups include quinolinyl, isoquinolinyl, cinnolinyl, quinazolinyl, quinoxalinyl, 1,5-naphthyridyl, 1,6-naphthyridyl, 1,7-naphthyridyl and 1,8-naphthyridyl.

The term “PEG” as used herein means a polyethylene glycol molecule. In its typical form, PEG is a linear polymer with terminal hydroxyl groups and has the formula HO—CH₂CH₂—(CH₂CH₂O)_(n)—CH₂CH₂—OH, where n is from about 8 to about 4000. The terminal hydrogen may be substituted with a protective group such as an alkyl or alkanol group. Preferably, PEG has at least one hydroxy group, more preferably it is a terminal hydroxy group. It is this hydroxy group which is preferably activated to react with the peptide. There are many forms of PEG useful for the present invention. Numerous derivatives of PEG exist in the art and are suitable for use in the invention. (See, e.g., U.S. Pat. Nos. 5,445,090; 5,900,461; 5,932,462; 6,436,386; 6,448,369; 6,437,025; 6,448,369; 6,495,659; 6,515,100 and 6,514,491 and Zalipsky, S. Bioconjugate Chem. 6:150-165, 1995). The PEG molecule covalently attached to VPAC2 receptor peptide agonists in the present invention is not intended to be limited to a particular type. The molecular weight of the PEG molecule is preferably from 500-100,000 daltons. PEG may be linear or branched. PEGylated VPAC2 receptor peptide agonists of the invention may have one, two or three PEG molecules attached to the peptide. It is more preferable that there be one or two PEG molecules per PEGylated VPAC2 receptor peptide agonist, however, when there is more than one PEG molecule per peptide molecule, it is preferred that there be no more than three. It is further contemplated that both ends of the PEG molecule may be homo- or hetero-functionalized for crosslinking two or more VPAC2 receptor peptide agonists together. Where there are two PEG molecules present, the PEG molecules will preferably each be 20,000 dalton PEG molecules or each be 30,000 dalton PEG molecules. However, PEG molecules having a different molecular weight may be used, for example, one 10,000 dalton PEG molecule and one 30,000 PEG molecule, or one 20,000 dalton PEG molecule and one 40,000 dalton PEG molecule.

In the present invention, a PEG molecule may be covalently attached to a Cys or Lys residue or to the C-terminal residue. The PEG molecule may also be covalently attached to a Trp residue which is coupled to the side chain of a Lys residue (K(W)). Alternatively, a K(CO(CH₂)₂SH) group may be PEGylated to form K(CO(CH₂)₂S-PEG). Any Lys residue in the peptide agonist may be substituted for a K(W) or K(CO(CH₂)₂SH), which may then be PEGylated. In addition, any Cys residue in the peptide agonist may be substituted for a modified cysteine residue, for example, hC. The modified Cys residue may be covalently attached to a PEG molecule.

The term “PEGylation” as used herein means the covalent attachment of one or more PEG molecules as described above to the VPAC2 receptor peptide agonists of the present invention.

According to a preferred embodiment of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising a peptide sequence selected from: SEQ ID NO: 17 to 45 and 94 to 112, and a C-terminal extension selected from: SEQ ID NO: 5, 6, 7, 8, 9, 10, 11 and 12. It is especially preferred that the C-terminal extension is SEQ ID NO: 11 or SEQ ID NO: 12.

According to a more preferred embodiment of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising a peptide sequence selected from: SEQ ID NO: 17 to 45 and 94 to 112, and a C-terminal extension selected from: SEQ ID NO: 5, 6, 7, 8, 9, 10, 11 and 12, and wherein the VPAC2 receptor peptide agonist further comprises a N-terminal modification, which modification is the addition of acetyl, propionyl, butyryl, pentanoyl, hexanoyl, methionine, methionine sulfoxide, 3-phenylpropionyl, phenylacetyl, benzoyl, norleucine, D-histidine, isoleucine, 3-mercaptopropionyl, biotinyl-6-aminohexanoic acid (6-aminocaproic acid), and —C(═NH)—NH₂. In this embodiment, it is more preferred that the N-terminal modification is the addition of acetyl or hexanoyl.

According to a further preferred embodiment of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising an amino acid sequence of Formula 4 (SEQ ID NO: 4) and a C-terminal extension selected from: SEQ ID NO: 5, 6, 7, 8, 9, 10, 11 and 12, and wherein the PEGylated VPAC2 receptor peptide agonist further comprises a N-terminal modification, which modification is the addition of acetyl, propionyl, butyryl, pentanoyl, hexanoyl, methionine, methionine sulfoxide, 3-phenylpropionyl, phenylacetyl, benzoyl, norleucine, D-histidine, isoleucine, 3-mercaptopropionyl, biotinyl-6-aminohexanoic acid (6-aminocaproic acid), and —C(═NH)—NH₂. In this embodiment, it is more preferred that the N-terminal modification is the addition of acetyl or hexanoyl.

According to a more preferred embodiment of the present invention, there is provided a PEGylated VPAC2 receptor peptide agonist comprising an amino acid sequence of Formula 4 (SEQ ID NO: 4), wherein Xaa₁₅ is Aib, Xaa₂₀ is Aib, and Xaa₁₂, Xaa₂₁, Xaa₂₇ and Xaa₂₈ are all Orn, and a C-terminal extension selected from: SEQ ID NO: 5, 6, 7, 8, 9, 10, 11 and 12, and wherein the PEGylated VPAC2 receptor peptide agonist further comprises a N-terminal modification, which modification is the addition of acetyl, propionyl, butyryl, pentanoyl, hexanoyl, methionine, methionine sulfoxide, 3-phenylpropionyl, phenylacetyl, benzoyl, norleucine, D-histidine, isoleucine, 3-mercaptopropionyl, biotinyl-6-aminohexanoic acid (6-aminocaproic acid), and —C(═NH)—NH₂. In this embodiment, it is more preferred that Xaa₁₅ is Aib, Xaa₂₀ is Aib, Xaa₁₂, Xaa₂₁, Xaa₂₇ and Xaa₂₈ are all Orn, Xaa₈ is Glu, Xaa₉ is Gln, and Xaa₁₀ is Tyr(OMe). It is especially preferred that Xaa₁₅ is Aib, Xaa₂₀ is Aib, Xaa₁₂, Xaa₂₁, Xaa₂₇ and Xaa₂₈ are all Orn, Xaa₈ is Glu, Xaa₉ is Gln, Xaa₁₀ is Tyr(OMe), and Xaa₂₃ and/or Xaa₂₅ is Aib PEGylation of proteins may overcome many of the pharmacological and toxicological/immunological problems associated with using peptides or proteins as therapeutics. However, for any individual peptide it is uncertain whether the PEGylated form of the peptide will have significant loss in bioactivity as compared to the unPEGylated form of the peptide.

The bioactivity of PEGylated proteins can be affected by factors such as: i) the size of the PEG molecule; ii) the particular sites of attachment; iii) the degree of modification; iv) adverse coupling conditions; v) whether a linker is used for attachment or whether the polymer is directly attached; vi) generation of harmful co-products; vii) damage inflicted by the activated polymer; or viii) retention of charge. Work performed on the PEGylation of cytokines, for example, shows the effect PEGylation may have. Depending on the coupling reaction used, polymer modification of cytokines has resulted in dramatic reductions in bioactivity [Francis, G. E., et al., (1998) PEGylation of cytokines and other therapeutic proteins and peptides: the importance of biological optimization of coupling techniques, Intl. J. Hem. 68:1-18]. Maintaining the bioactivity of PEGylated peptides is even more problematic than for proteins. As peptides are smaller than proteins, modification by PEGylation may potentially have a greater effect on bioactivity.

The VPAC2 receptor peptide agonists of the present invention are modified by the covalent attachment of one or more molecules of a PEG and generally have improved pharmacokinetic profiles due to slower proteolytic degradation and renal clearance. PEGylation will increase the apparent size of the VPAC2 receptor peptide agonists, thus reducing renal filtration and altering biodistribution. PEGylation can shield antigenic epitopes of the VPAC2 receptor peptide agonists, thus reducing reticuloendothelial clearance and recognition by the immune system and also reducing degradation by proteolytic enzymes, such as DPP-IV.

Covalent attachment of one or more molecules of PEG to a small, biologically active VPAC2 receptor peptide agonist poses the risk of adversely affecting the agonist, for example, by destabilising the inherent secondary structure and bioactive conformation and reducing bioactivity, so as to make the agonist unsuitable for use as a therapeutic. The present invention, however, is based on the finding that covalent attachment of one or more molecules of PEG to particular residues of a VPAC2 receptor peptide agonist surprisingly results in a biologically active, PEGylated VPAC2 receptor peptide agonist with an extended half-life and reduced clearance when compared to that of non-PEGylated VPAC2 receptor peptide agonists. The compounds of the present invention include selective PEGylated VPAC2 receptor peptide agonists.

In order to determine the potential PEGylation sites in a VPAC2 receptor peptide agonist, serine scanning may be conducted. A Ser residue is substituted at a particular position in the peptide and the Ser-modified peptide is tested for potency and selectivity. If the Ser substitution has minimal impact on potency and the Ser-modified peptide is selective for the VPAC2 receptor, the Ser residue is then substituted for a Cys or Lys residue, which serves as a direct or indirect PEGylation site. Indirect PEGylation of a residue is the PEGylation of a chemical group or residue which is bonded to the PEGylation site residue. Indirect PEGylation of Lys includes PEGylation of K(W) and K(CO(CH₂)₂SH).

The invention described herein provides PEGylated VPAC2 receptor peptide agonists. PEGylation can enhance the half-life of the selective VPAC2 receptor peptide agonists, resulting in PEGylated VPAC2 receptor peptide agonists with an elimination half-life of at least one hour, preferably at least 3, 5, 1,10, 15, 20, or 24 hours and most preferably at least 48 hours. The PEGylated VPAC2 receptor peptide agonists of the present invention preferably have a clearance value of 200 ml/h/kg or less, more preferably 180, 150, 120, 100, 80, 60 ml/h/kg or less and most preferably less than 50, 40 or 20 ml/h/kg.

The present invention encompasses the discovery that specific amino acids added to the C-terminus of a peptide sequence for a VPAC2 receptor peptide agonist may protect the peptide as well as may enhance activity, selectivity, and/or potency. For example, these C-terminal extensions may stabilize the helical structure of the peptide and stabilize sites located near to the C-terminus, which, are prone to enzymatic cleavage. Furthermore, many of the C-terminally extended peptides disclosed herein may be more selective for the VPAC2 receptor and can be more potent than VIP, PACAP, and other known VPAC2 receptor peptide agonists. An example of a preferred C-terminal extension is the extension peptide of Exendin-4 as the C-capping sequence. Exendin-4 is found in the salivary excretions from the Gila Monster, Heloderma Suspectum, (Eng et al., J. Biol. Chem., 267(11):7402-7405 (1992)). Other examples of C-terminal extensions are the C-terminal sequences of helodermin and helospectin. Helodermin and helospectin are also found in the salivary excretions of the Gila Monster.

It has furthermore been discovered that modification of the N-terminus of the VPAC2 receptor peptide agonist may enhance potency and/or provide stability against DPP-IV cleavage.

VIP and some known VPAC2 receptor peptide agonists are susceptible to cleavage by various enzymes and, thus, have a short in vivo half-life. Various enzymatic cleavage sites in the VPAC2 receptor peptide agonists are discussed below. The cleavage sites are discussed relative to the amino acid positions in VIP (SEQ ID NO: 14), and are applicable to the sequences noted herein.

Cleavage of the peptide agonist by the enzyme dipeptidyl-peptidase-IV (DPP-IV) occurs between position 2 (serine in VIP) and position 3 (aspartic acid in VIP). The agonists of the present invention may be rendered more stable to DPP-IV cleavage in this region by the addition of a N-terminal modification. Examples of N-terminal modifications that may improve stability against DPP-IV cleavage include the addition of acetyl, propionyl, butyryl, pentanoyl, hexanoyl, methionine, methionine sulfoxide, 3-phenylpropionyl, phenylacetyl, benzoyl, norleucine, D-histidine, isoleucine, 3-mercaptopropionyl, biotinyl-6-aminohexanoic acid, or —C(═NH₂)—NH₂. Preferably, the N-terminal modification is the addition of acetyl or hexanoyl.

There are chymotrypsin cleavage sites in wild-type VIP between the amino acids 10 and 11 (tyrosine and threonine) and those at 22 and 23 (tyrosine and leucine). Making substitutions at position 10 and/or 11 and position 22 and/or 23 may increase the stability of the peptide at these sites. For example, substitution of tyrosine at position 10 and/or position 22 with Tyr(OMe) may increase stability.

There is a trypsin cleavage site between the amino acids at positions 12 and 13 of wild-type VIP. Certain amino acids render the peptide less susceptible to cleavage at this site, for example, ornithine at position 12 and amino isobutyric acid at position 13.

In wild-type VIP, and in numerous VPAC2 receptor peptide agonists known in the art, there are cleavage sites between the basic amino acids at positions 14 and 15 and between those at positions 20 and 21. The selective PEGylated VPAC2 receptor peptide agonists of the present invention may have improved proteolytic stability in-vivo due to substitutions at these sites. The preferred substitutions at these sites are those which render the peptide less susceptible to cleavage by trypsin-like enzymes, including trypsin. For example, amino isobutyric acid at position 15, amino isobutyric acid at position 20, and ornithine at position 21 are all preferred substitutions which may lead to improved stability. The improved stability of a representative number of selective PEGylated VPAC2 receptor peptide agonists with resistance to peptidase cleavage and encompassed by the present invention is demonstrated in Example 7.

There is also a cleavage site between the amino acids at positions 25 and 26 of wild type VIP.

The region of the VPAC2 receptor peptide agonist encompassing the amino acids at positions 27, 28, 29, 30 and 31 is also susceptible to enzyme cleavage. The addition of a C-terminal extension may render the peptide agonist more stable against neuroendopeptidase (NEP), it may also increase selectivity for the VPAC2 receptor. This region may also be attacked by trypsin-like enzymes. If that occurs, the peptide agonist may lose its C-terminal extension with the additional carboxypeptidase activity leading to an inactive form of the peptide. Preferred substitutions which may increase resistance to cleavage in this region include ornithine at position 27, ornithine, or amino isobutyric acid at position 28 and ornithine at position 29.

In addition to selective PEGylated VPAC2 receptor peptide agonists with resistance to cleavage by various peptidases, the selective PEGylated VPAC2 peptide receptor agonists of the present invention may also encompass peptides with enhanced selectivity for the VPAC2 receptor, increased potency, and/or increased stability compared with some peptides known in the art. The increased potency and selectivity for various PEGylated VPAC2 receptor peptide agonists of the present invention is demonstrated in Examples 3, 4 and 5.

Table 1 in Example 3 provides a list of selective PEGylated VPAC2 receptor peptide agonists and their corresponding in vitro potency results. Preferably, the selective PEGylated VPAC2 receptor peptide agonists of the present invention have an EC₅₀ value less than 200 nM. More preferably, the EC₅₀ value is less than 100 nM. Even more preferably, the EC₅₀ value is less than 50 nM. Still more preferably, the EC₅₀ value is less than 30 nM.

Table 2 in Example 4 provides a list of PEGylated VPAC2 receptor peptide agonists and their corresponding receptor binding results for human VPAC2, VPAC1 and PAC1. See Example 4 for further details of these assays. The degree of selectivity is determined by a ratio of VPAC2 receptor binding affinity to VPAC1 receptor binding affinity and by a ratio of VPAC2 receptor binding affinity to PAC1 receptor binding affinity. Preferably, the agonists of the present invention have a selectivity ratio where the affinity for the VPAC2 receptor is at least 50 times greater than for the VPAC1 and/or for PAC1 receptors. More preferably, this affinity is at least 100 times greater for VPAC2 than for VPAC1 and/or for PAC1. Even more preferably, the affinity is at least 200 times greater for VPAC2 than for VPAC1 and/or for PAC1. Still more preferably, the affinity is at least 500 times greater for VPAC2 than for VPAC1 and/or for PAC1. Yet more preferably, the ratio is at least 1000 times greater for VPAC2 than for VPAC1 and/or for PAC1.

As used herein, “selective VPAC2 receptor peptide agonists” also include pharmaceutically acceptable salts of the agonists described herein. A selective VPAC2 receptor peptide agonist of this invention can possess a sufficiently acidic, a sufficiently basic, or both functional groups, and accordingly react with any of a number of inorganic bases, and inorganic and organic acids, to form a salt. Acids commonly employed to form acid addition salts are inorganic acids such as hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, phosphoric acid, and the like, and organic acids such as p-toluenesulfonic acid, methanesulfonic acid, oxalic acid, p-bromophenyl-sulfonic acid, carbonic acid, succinic acid, citric acid, benzoic acid, acetic acid, trifluoroacetic acid, and the like. Examples of such salts include the sulfate, pyrosulfate, bisulfate, sulfite, bisulfite, phosphate, monohydrogenphosphate, dihydrogenphosphate, metaphosphate, pyrophosphate, chloride, bromide, iodide, acetate, propionate, decanoate, caprylate, acrylate, formate, isobutyrate, caproate, heptanoate, propiolate, oxalate, malonate, succinate, suberate, sebacate, fumarate, maleate, butyne-1,4-dioate, hexyne-1,6-dioate, benzoate, chlorobenzoate, methylbenzoate, dinitrobenzoate, hydroxybenzoate, methoxybenzoate, phthalate, sulfonate, xylenesulfonate, phenylacetate, phenylpropionate, phenylbutyrate, citrate, lactate, gamma-hydroxybutyrate, glycolate, tartrate, methanesulfonate, propanesulfonate, naphthalene-1-sulfonate, naphthalene-2-sulfonate, mandelate, and the like.

Base addition salts include those derived from inorganic bases, such as ammonium or alkali or alkaline earth metal hydroxides, carbonates, bicarbonates, and the like. Such bases useful in preparing the salts of this invention thus include sodium hydroxide, potassium hydroxide, ammonium hydroxide, potassium carbonate, and the like.

The selective PEGylated VPAC2 receptor peptide agonists of the present invention are preferably formulated as pharmaceutical compositions. Standard pharmaceutical formulation techniques may be employed such as those described in Remington's Pharmaceutical Sciences, Mack Publishing Company, Easton, Pa. The selective PEGylated VPAC2 receptor peptide agonists of the present invention may be formulated for administration through the buccal, topical, oral, transdermal, nasal, or pulmonary route, or for parenteral administration.

Parenteral administration can include, for example, systemic administration, such as by intramuscular, intravenous, subcutaneous, intradermal, or intraperitoneal injection. The selective PEGylated VPAC2 receptor peptide agonists can be administered to the subject in conjunction with an acceptable pharmaceutical carrier, diluent, or excipient as part of a pharmaceutical composition for treating NIDDM, or the disorders discussed below. The pharmaceutical composition can be a solution or, if administered parenterally, a suspension of the PEGylated VPAC2 receptor peptide agonist or a suspension of the PEGylated VPAC2 receptor peptide agonist complexed with a divalent metal cation such as zinc. Suitable pharmaceutical carriers may contain inert ingredients which do not interact with the peptide or peptide derivative. Suitable pharmaceutical carriers for parenteral administration include, for example, sterile water, physiological saline, bacteriostatic saline (saline containing about 0.9% mg/ml benzyl alcohol), phosphate-buffered saline, Hank's solution, Ringer's-lactate and the like. Some examples of suitable excipients include lactose, dextrose, sucrose, trehalose, sorbitol, and mannitol.

The PEGylated VPAC2 receptor peptide agonists of the invention may be formulated for administration such that blood plasma levels are maintained in the efficacious range for extended time periods. The main barrier to effective oral peptide drug delivery is poor bioavailability due to degradation of peptides by acids and enzymes, poor absorption through epithelial membranes, and transition of peptides to an insoluble form after exposure to the acidic pH environment in the digestive tract. Oral delivery systems for peptides such as those encompassed by the present invention are known in the art. For example, PEGylated VPAC2 receptor peptide agonists can be encapsulated using microspheres and then delivered orally. For example, PEGylated VPAC2 receptor peptide agonists can be encapsulated into microspheres composed of a commercially available, biocompatible, biodegradable polymer, poly(lactide-co-glycolide)-COOH and olive oil as a filler (see Joseph, et al. Diabetologia 43:1319-1328 (2000)). Other types of microsphere technology is also available commercially such as Medisorb® and Prolease® biodegradable polymers from Alkermes. Medisorb® polymers can be produced with any of the lactide isomers. Lactide:glycolide ratios can be varied between 0:100 and 100:0 allowing for a broad range of polymer properties. This allows for the design of delivery systems and implantable devices with resorption times ranging from weeks to months. Emisphere has also published numerous articles discussing oral delivery technology for peptides and proteins. For example, see WO 95/28838 by Leone-bay et al. which discloses specific carriers comprised of modified amino acids to facilitate absorption.

The selective PEGylated VPAC2 receptor peptide agonists described herein can be used to treat subjects with a wide variety of diseases and conditions. Agonists encompassed by the present invention exert their biological effects by acting at a receptor referred to as the VPAC2 receptor. Subjects with diseases and/or conditions that respond favourably to VPAC2 receptor stimulation or to the administration of VPAC2 receptor peptide agonists can therefore be treated with the PEGylated VPAC2 agonists of the present invention. These subjects are said to “be in need of treatment with VPAC2 agonists” or “in need of VPAC2 receptor stimulation”.

The selective PEGylated VPAC2 receptor peptide agonists of the present invention may be employed to treat diabetes, including both type 1 and type 2 diabetes (non-insulin dependent diabetes mellitus or NIDDM). The agonists may also be used to treat subjects requiring prophylactic treatment with a VPAC2 receptor agonist, e.g., subjects at risk for developing NIDDM. Such treatment may also delay the onset of diabetes and diabetic complications. Additional subjects which may be treated with the agonists of the present invention include those with impaired glucose tolerance (IGT) (Expert Committee on Classification of Diabetes Mellitus, Diabetes Care 22 (Supp. 1):S5, 1999), or impaired fasting glucose (IFG) (Charles, et al., Diabetes 40:796, 1991), subjects whose body weight is about 25% above normal body weight for the subject's height and body build, subjects having one or more parents with NIDDM, subjects who have had gestational diabetes, and subjects with metabolic disorders such as those resulting from decreased endogenous insulin secretion. The selective PEGylated VPAC2 receptor peptide agonists may be used to prevent subjects with impaired glucose tolerance from proceeding to develop NIDDM, prevent pancreatic β-cell deterioration, induce β-cell proliferation, improve β-cell function, activate dormant β-cells, differentiate cells into β-cells, stimulate β-cell replication, and inhibit β-cell apoptosis. Other diseases and conditions that may be treated or prevented using agonists of the invention in methods of the invention include: Maturity-Onset Diabetes of the Young (MODY) (Herman, et al., Diabetes 43:40, 1994); Latent Autoimmune Diabetes Adult (LADA) (Zimmet, et al., Diabetes Med. 11:299, 1994); gestational diabetes (Metzger, Diabetes, 40:197, 1991); metabolic syndrome X, dyslipidemia, hyperglycemia, hyperinsulinemia, hypertriglyceridemia, and insulin resistance.

The selective PEGylated VPAC2 receptor peptide agonists of the invention may also be used to treat secondary causes of diabetes (Expert Committee on Classification of Diabetes Mellitus, Diabetes Care 22 (Supp. 1):S5, 1999). Such secondary causes include glucocorticoid excess, growth hormone excess, pheochromocytoma, and drug-induced diabetes. Drugs that may induce diabetes include, but are not limited to, pyriminil, nicotinic acid, glucocorticoids, phenyloin, thyroid hormone, β-adrenergic agents, α-interferon and drugs used to treat HIV infection.

The selective PEGylated VPAC2 receptor peptide agonists of the present invention may be effective in the suppression of food intake and the treatment of obesity.

The selective PEGylated VPAC2 receptor peptide agonists of the present invention may also be effective in the prevention or treatment of such disorders as atherosclerotic disease, hyperlipidemia, hypercholesteremia, low HDL levels, hypertension, primary pulmonary hypertension, cardiovascular disease (including atherosclerosis, coronary heart disease and coronary artery disease), cerebrovascular disease and peripheral vessel disease; and for the treatment of lupus, polycystic ovary syndrome, carcinogenesis, and hyperplasia, male and female reproduction problems, sexual disorders, ulcers, sleep disorders, disorders of lipid and carbohydrate metabolism, circadian dysfunction, growth disorders, disorders of energy homeostasis, immune diseases including autoimmune diseases (e.g., systemic lupus erythematosus), as well as acute and chronic inflammatory diseases, rheumatoid arthritis, and septic shock.

The selective PEGylated VPAC2 receptor peptide agonists of the present invention may also be useful for treating physiological disorders related to, for example, cell differentiation to produce lipid accumulating cells, regulation of insulin sensitivity and blood glucose levels, which are involved in, for example, abnormal pancreatic β-cell function, insulin secreting tumors and/or autoimmune hypoglycemia due to autoantibodies to insulin, autoantibodies to the insulin receptor, or autoantibodies that are stimulatory to pancreatic β-cells, macrophage differentiation which leads to the formation of atherosclerotic plaques, inflammatory response, carcinogenesis, hyperplasia, adipocyte gene expression, adipocyte differentiation, reduction in the pancreatic β-cell mass, insulin secretion, tissue sensitivity to insulin, liposarcoma cell growth, polycystic ovarian disease, chronic anovulation, hyperandrogenism, progesterone production, steroidogenesis, redox potential and oxidative stress in cells, nitric oxide synthase (NOS) production, increased gamma glutamyl transpeptidase, catalase, plasma triglycerides, HDL, and LDL cholesterol levels, and the like.

In addition, the selective PEGylated VPAC2 receptor peptide agonists of the invention may be used for treatment of asthma (Bolin, et al., Biopolymer 37:57-66 (1995); U.S. Pat. No. 5,677,419; showing that polypeptide R3PO is active in relaxing guinea pig tracheal smooth muscle); hypotension induction (VIP induces hypotension, tachycardia, and facial flushing in asthmatic patients (Morice, et al., Peptides 7:279-280 (1986); Morice, et al., Lancet 2:1225-1227 (1983)); for the treatment of male reproduction problems (Siow, et al., Arch. Androl. 43(1):67-71 (1999)); as an anti-apoptosis/neuroprotective agent (Brenneman, et al., Ann. N.Y. Acad. Sci. 865:207-12 (1998)); for cardioprotection during ischemic events (Kalfin, et al., J. Pharmacol. Exp. Ther. 1268(2):952-8 (1994); Das, et al., Ann. N.Y. Acad. Sci. 865:297-308 (1998)); for manipulation of the circadian clock and its associated disorders (Hamar, et al., Cell 109:497-508 (2002); Shen, et al., Proc. Natl. Acad. Sci. 97:11575-80, (2000)); and as an anti-ulcer agent (Tuncel, et al., Ann. N.Y. Acad. Sci. 865:309-22, (1998)).

An “effective amount” of a selective PEGylated VPAC2 receptor peptide agonist is the quantity that results in a desired therapeutic and/or prophylactic effect without causing unacceptable side effects when administered to a subject in need of VPAC2 receptor stimulation. A “desired therapeutic effect” includes one or more of the following: 1) an amelioration of the symptom(s) associated with the disease or condition; 2) a delay in the onset of symptoms associated with the disease or condition; 3) increased longevity compared with the absence of the treatment; and 4) greater quality of life compared with the absence of the treatment. For example, an “effective amount” of a PEGylated VPAC2 agonist for the treatment of NIDDM is the quantity that would result in greater control of blood glucose concentration than in the absence of treatment, thereby resulting in a delay in the onset of diabetic complications such as retinopathy, neuropathy, or kidney disease. An “effective amount” of a selective PEGylated VPAC2 receptor peptide agonist for the prevention of NIDDM is the quantity that would delay, compared with the absence of treatment, the onset of elevated blood glucose levels that require treatment with anti-hypoglycemic drugs such as sulfonylureas, thiazolidinediones, insulin, and/or bisguanidines.

An “effective amount” of the selective PEGylated VPAC2 receptor peptide agonist administered to a subject will also depend on the type and severity of the disease and on the characteristics of the subject, such as general health, age, sex, body weight and tolerance to drugs. The dose of selective PEGylated VPAC2 peptide receptor agonist effective to normalize a patient's blood glucose will depend on a number of factors, among which are included, without limitation, the subject's sex, weight and age, the severity of inability to regulate blood glucose, the route of administration and bioavailability, the pharmacokinetic profile of the peptide, the potency, and the formulation.

A typical dose range for the selective PEGylated VPAC2 receptor peptide agonists of the present invention will range from about 1 μg per day to about 5000 μg per day. Preferably, the dose ranges from about 1 μg per day to about 2500 μg per day, more preferably from about 1 μg per day to about 1000 μg per day. Even more preferably, the dose ranges from about 5 μg per day to about 100 μg per day. A further preferred dose range is from about 10 μg per day to about 50 μg per day. Most preferably, the dose is about 20 μg per day.

A “subject” is a mammal, preferably a human, but can also be an animal, e.g., companion animals (e.g., dogs, cats, and the like), farm animals (e.g., cows, sheep, pigs, horses, and the like) and laboratory animals (e.g., rats, mice, guinea pigs, and the like).

The selective PEGylated VPAC2 receptor peptide agonists of the present invention can be prepared by using standard methods of solid-phase peptide synthesis techniques. Peptide synthesizers are commercially available from, for example, Rainin-PTI Symphony Peptide Synthesizer (Tucson, Ariz.). Reagents for solid phase synthesis are commercially available, for example, from Glycopep (Chicago, Ill.). Solid phase peptide synthesizers can be used according to manufacturers instructions for blocking interfering groups, protecting the amino acid to be reacted, coupling, decoupling, and capping of unreacted amino acids.

Typically, an α-N-protected amino acid and the N-terminal amino acid on the growing peptide chain on a resin is coupled at room temperature in an inert solvent such as dimethylformamide, N-methylpyrrolidone or methylene chloride in the presence of coupling agents such as dicyclohexylcarbodiimide and 1-hydroxybenzotriazole and a base such as diisopropylethylamine. The α-N-protecting group is removed from the resulting peptide resin using a reagent such as trifluoroacetic acid or piperidine, and the coupling reaction repeated with the next desired N-protected amino acid to be added to the peptide chain. Suitable amine protecting groups are well known in the art and are described, for example, in Green and Wuts, “Protecting Groups in Organic Synthesis”, John Wiley and Sons, 1991. Examples include t-butyloxycarbonyl (tBoc) and fluorenylmethoxycarbonyl (Fmoc).

The selective VPAC2 receptor peptide agonists may also be synthesized using standard automated solid-phase synthesis protocols using t-butoxycarbonyl- or fluorenylmethoxycarbonyl-alpha-amino acids with appropriate side-chain protection. After completion of synthesis, modification of the N-terminus may be accomplished by reacting the α-amino group with, for example: (i) active esters (using similar protocols as described above for the introduction of an α-N-protected amino acid); (ii) aldehydes in the presence of a reducing agent (reductive amination procedure); and (iii) guanidation reagents. Then, peptides are cleaved from the solid-phase support with simultaneous side-chain deprotection using standard hydrogen fluoride methods or trifluoroacetic acid (TFA). Crude peptides are then further purified using Reversed-Phase Chromatography on VYDAC C18 columns using acetonitrile gradients in 0.1% TFA. To remove acetonitrile, peptides are lyophilized from a solution containing 0.1% TFA, acetonitrile and water. Purity can be verified by analytical reversed phase chromatography. Identity of peptides can be verified by mass spectrometry. Peptides can be solubilized in aqueous buffers at neutral pH.

The peptide agonists of the present invention may also be made by recombinant methods known in the art using both eukaryotic and prokaryotic cellular hosts.

Once a peptide is prepared and purified, it is modified by covalently linking at least one PEG molecule to Cys or Lys residues, to K(W) or K(CO(CH₂)₂SH), or to the carboxy-terminal amino acid. A wide variety of methods have been described in the art to produce peptides covalently conjugated to PEG and the specific method used for the present invention is not intended to be limiting (for review article see, Roberts, M. et al. Advanced Drug Delivery Reviews, 54:459-476, 2002).

An example of a PEG molecule which may be used is methoxy-PEG2-MAL-40K, a bifurcated PEG maleimide (Nektar, Huntsville, Ala.). Other examples include, but are not limited to bulk mPEG-SBA-20K (Nektar), mPEG2-ALD-40K (Nektar) and methoxy-PEG-MAL-30K (Dow).

Carboxy-terminal attachment of PEG may be attached via enzymatic coupling using recombinant VPAC2 receptor peptide agonist as a precursor or alternative methods known in the art and described, for example, in U.S. Pat. No. 4,343,898 or Intl. J. Pept. & Prot. Res. 43:127-38 (1994).

One method for preparing the PEGylated VPAC2 receptor peptide agonists of the present invention involves the use of PEG-maleimide to directly attach PEG to a thiol group of the peptide. The introduction of a thiol functionality can be achieved by adding or inserting a Cys or hC residue onto or into the peptide at positions described above. A thiol functionality can also be introduced onto the side-chain of the peptide (e.g. acylation of lysine ε-amino group by a thiol-containing acid, such as mercaptopropionic acid). A PEGylation process of the present invention utilizes Michael addition to form a stable thioether linker. The reaction is highly specific and takes place under mild conditions in the presence of other functional groups. PEG maleimide has been used as a reactive polymer for preparing well-defined, bioactive PEG-protein conjugates. It is preferable that the procedure uses a molar excess, preferably from 1 to 10 molar excess, of a thiol-containing VPAC2 receptor peptide agonist relative to PEG maleimide to drive the reaction to completion. The reactions are preferably performed between pH 4.0 and 9.0 at room temperature for 10 minutes to 40 hours. The excess of unPEGylated thiol-containing peptide is readily separated from the PEGylated product by conventional separation methods. The PEGylated VPAC2 receptor peptide agonist is preferably isolated using reverse-phase HPLC or size exclusion chromatography. Specific conditions required for PEGylation of VPAC2 receptor peptide agonists are set forth in Example 8. Cysteine PEGylation may be performed using PEG maleimide or bifurcated PEG maleimide.

An alternative method for preparing the PEGylated VPAC2 receptor peptide agonists of the invention, involves PEGylating a lysine residue using a PEG-succinimidyl derivative. In order to achieve site specific PEGylation, the Lys residues which are not used for PEGylation are substituted for Arg residues.

Another approach for PEGylation is via Pictet-Spengler reaction. A Trp residue with its free amine is needed to incorporate the PEG molecule onto a VPAC2 receptor selective peptide. One approach to achieve this is to site specifically introduce a Trp residue onto the amine of a Lys sidechain via an amide bond during the solid phase synthesis (see Example 10).

Various preferred features and embodiments of the present invention will now be described only by way of the examples with reference to the following figure in which:—FIG. 1 shows the enhancement of the insulin response to the i.v. glucose challenge in animals treated with P505 or P525 24 h prior to the glucose injection. The insulin response in vehicle-treated animals is shown for reference.

EXAMPLE 1 Preparation of the Selective VPAC2 Receptor Peptide Agonists by Solid Phase t-Boc Chemistry

Approximately 0.5-0.6 grams (0.38-0.45 mmole) Boc Ser(Bzl)-PAM resin is placed in a standard 60 mL reaction vessel. Double couplings are run on an Applied Biosystems ABI430A peptide synthesizer.

The following side-chain protected amino acids (2 mmole cartridges of Boc amino acids) are obtained from Midwest Biotech (Fishers, Ind.) and are used in the synthesis:

Arg-Tosyl (TOS), Asp-6-cyclohexyl ester (OcHx), Glu-8-cyclohexyl ester (OcHx), His-benzyloxymethyl(BOM), Lys-2-chlorobenzyloxycarbonyl (2Cl-Z), Ser-O-benzyl ether (OBzl), Thr-O-benzyl ether (OBzl), Trp-formyl (CHO) and Tyr-2-bromobenzyloxycarbonyl (2Br-Z).

Trifluoroacetic acid (TFA), di-isopropylethylamine (DIEA), 0.5 M hydroxybenzotriazole (HOBt) in DMF and 0.5 M dicyclohexylcarbodiimide (DCC) in dichloromethane are purchased from PE-Applied Biosystems (Foster City, Calif.). Dimethylformamide (DMF-Burdick and Jackson) and dichloromethane (DCM-Mallinkrodt) is purchased from Mays Chemical Co. (Indianapolis, Ind.).

Standard double couplings are run using either symmetric anhydride or HOBt esters, both formed using DCC. At the completion of the syntheses, the N-terminal Boc group is removed and the peptidyl resins are treated with 20% piperidine in DMF to deformylate the Trp side chain if Trp is present in the sequence. For the N-terminal acylation, four-fold excess of symmetric anhydride of the corresponding acid is added onto the peptide resin. The symmetric anhydride is prepared by diisopropylcarbodiimde (DIC) activation in DCM. The reaction is allowed to proceed for 4 hours and monitored by ninhydrin test. After washing with DCM, the resins are transferred to a TEFLON reaction vessel and are dried in vacuo.

Cleavages are done by attaching the reaction vessels to a HF (hydrofluoric acid) apparatus (Penninsula Laboratories). 1 mL m-cresol per gram/resin is added and 10 mL HF (purchased from AGA, Indianapolis, Ind.) is condensed into the pre-cooled vessel. 1 mL DMS per gram resin is added when methionine is present. The reactions are stirred one hour in an ice bath. The HF is removed in vacuo. The residues are suspended in ethyl ether. The solids are filtered and are washed with ether. Each peptide is extracted into aqueous acetic acid and either is freeze dried or is loaded directly onto a reverse-phase column.

Purifications are run on a 2.2×25 cm VYDAC C18 column in buffer A (0.1% TFA in water). A gradient of 20% to 90% B (0.1% TFA in acetonitrile) is run on an HPLC (Waters) over 120 minutes at 10 mL/minute while monitoring the UV at 280 nm (4.0 A) and collecting one minute fractions. Appropriate fractions are combined, frozen and lyophilized. Dried products are analyzed by HPLC (0.46×15 cm METASIL AQ C18) and MALDI mass spectrometry.

EXAMPLE 2 Preparation of the Selective VPAC2 Receptor Peptide Agonists by Solid Phase FMoc Chemistry

Approximately 114 mg (50 mMole) FMOC Ser(tBu) WANG resin (purchased from GlycoPep, Chicago, Ill.) is placed in each reaction vessel. The synthesis is conducted on a Rainin Symphony Peptide Synthesizer. Analogs with a C-terminal amide are prepared using 75 mg (50 μmole) Rink Amide AM resin (Rapp Polymere. Tuebingen, Germany).

The following FMOC amino acids are purchased from GlycoPep (Chicago, Ill.), and NovaBiochem (La Jolla, Calif.): Arg-2,2,4,6,7-pentamethyldihydrobenzofuran-5-sulfonyl (Pbf), Asn-trityl (Trt), Asp-β-t-Butyl ester (tBu), Glu-δ-t-butyl ester (tBu), Gln-trityl (Trt), His-trityl (Trt), Lys-t-butyloxycarbonyl (Boc), Ser-t-butyl ether (OtBu), Thr-t-butyl ether (OtBu), Trp-t-butyloxycarbonyl (Boc), Tyr-t-butyl ether (OtBu).

Solvents dimethylformamide (DMF-Burdick and Jackson), N-methylpyrrolidone (NMP-Burdick and Jackson), dichloromethane (DCM-Mallinkrodt) are purchased from Mays Chemical Co. (Indianapolis, Ind.).

Hydroxybenzotrizole (HOBt), di-isopropylcarbodiimde (DIC), di-isopropylethylamine (DIEA), and piperidine (Pip) are purchased from Aldrich Chemical Co (Milwaukee, Wis.).

All amino acids are dissolved in 0.3 M in DMF. Three hour DIC/HOBt activated couplings are run after 20 minutes deprotection using 20% Pip/DMF. Each resin is washed with DMF after deprotections and couplings. After the last coupling and deprotection, the peptidyl resins are washed with DCM and are dried in vacuo in the reaction vessel. For the N-terminal acylation, four-fold excess of symmetric anhydride of the corresponding acid is added onto the peptide resin. The symmetric anhydride is prepared by DIC activation in DCM. The reaction is allowed to proceed for 4 hours and monitored by ninhydrin test. The peptide resin is then washed with DCM and dried in vacuo.

The cleavage reaction is mixed for 2 hours with a cleavage cocktail consisting of 0.2 mL thioanisole, 0.2 mL methanol, 0.4 mL triisopropylsilane, per 10 mL TFA, all purchased from Aldrich Chemical Co., Milwaukee, Wis. If Cys is present in the sequence, 2% of ethanedithiol is added. The TFA filtrates are added to 40 mL ethyl ether. The precipitants are centrifuged 2 minutes at 2000 rpm. The supernatants are decanted. The pellets are resuspended in 40 mL ether, re-centrifuged, re-decanted, dried under nitrogen and then in vacuo.

0.3-0.6 mg of each product is dissolved in 1 mL 0.1% TFA/acetonitrile(ACN), with 20 μL being analyzed on HPLC [0.46×15 cm METASIL AQ C18, 1 mL/min, 45° C., 214 nM (0.2 A), A=0.1% TFA, B=0.1% TFA/50% ACN. Gradient=50% B to 90% B over 30 minutes].

Purifications are run on a 2.2×25 cm VYDAC C18 column in buffer A (0.1% TFA in water). A gradient of 20% to 90% B (0.1% TFA in acetonitrile) is run on an HPLC (Waters) over 120 minutes at 10 mL/minute while monitoring the UV at 280 nm (4.0 A) and collecting 1 minute fractions. Appropriate fractions are combined, frozen and lyophilized. Dried products are analyzed by HPLC (0.46×15 cm METASIL AQ C18) and MALDI mass spectrometry.

Precursor to P521 (C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnY AibQSIOrnOrnGGPSSGAPPPCC—NH₂): Synthesis is carried out using the FMoc protocols described above. The peptide is characterised by analytical HPLC: t_(R)=10.9 min, HPLC conditions as described above, and MALDI-TOF: calculated m/z=4290.0, measured m/z=4290.8 [M+H⁺]. After purification using reversed-phase preparative HPLC, pure fractions are combined and lyophilised: 14.8 mg is obtained as a final lyophilised powder. Precursor to P525 (C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrnYAibQ AibIOrnOrnGGPSSGAPPPCC—NH₂): As described for the precursor to P521. Analytical HPLC: t_(R)=11.0 min. MALDI-TOF: calculated m/z=4288.0, measured m/z=4288.8 [M+H⁺]. 18.7 mg is obtained as a final lyophilised powder. Precursor to P574 (C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn Y(OMe)LQAibIOrnOrnGGPSSGAPPPCC—NH₂): As described for the precursor to P521. Analytical HPLC: t_(R)=11.7 min. MALDI-TOF: calculated m/z=4330.1, measured m/z=4330.7 [M+H⁺]. 46.2 mg is obtained as a final lyophilised powder.

EXAMPLE 3 In-Vitro Potency at Human VPAC2 Receptors

Alpha screen: Cells are washed in the culture flask once with PBS. Then, the cells are rinsed with enzyme free dissociation buffer. The dissociated cells are removed. The cells are then spun down and washed in stimulation buffer. For each data point, 50,000 cells suspended in stimulation buffer are used. To this buffer, Alpha screen acceptor beads are added along with the stimuli. This mixture is incubated for 60 minutes. Lysis buffer and Alpha screen donor beads are added and are incubated for 60 to 120 minutes. The Alpha screen signal (indicative of intracellular cAMP levels) is read in a suitable instrument (e.g. AlphaQuest from Perkin-Elmer). Steps including Alpha screen donor and acceptor beads are performed in reduced light. The EC₅₀ for cAMP generation is calculated from the raw signal or is based on absolute cAMP levels as determined by a standard curve performed on each plate.

Results for each agonist are, at minimum, from two analyses performed in a single run. For some agonists, the results are the mean of more than one run. The tested peptide concentrations are: 10000, 1000, 100, 10, 3, 1, 0.1, 0.01, 0.003, 0.001, 0.0001 and 0.00001 nM.

DiscoveRx: A CHO—S cell line stably expressing human VPAC2 receptor in a 96-well microtiter plate is seeded with 50,000 cells/well the day before the assay. The cells are allowed to attach for 24 hours in 200 μL culture medium. On the day of the experiment, the medium is removed. Also, the cells are washed twice. The cells are incubated in assay buffer plus IBMX for 15 minutes at room temperature. Afterwards, the stimuli are added and are dissolved in assay buffer. The stimuli are present for 30 minutes. Then, the assay buffer is gently removed. The cell lysis reagent of the DiscoveRx cAMP kit is added. Thereafter, the standard protocol for developing the cAMP signal as described by the manufacturer is used (DiscoveRx Inc., USA). EC₅₀ values for cAMP generation are calculated from the raw signal or are based on absolute cAMP levels as determined by a standard curve performed on each plate.

Results for each agonist are the mean of two independent runs. The typically tested concentrations of peptide are: 1000, 300, 100, 10, 1, 0.3, 0.1, 0.01, 0.001, 0.0001 and 0 nM.

The activity (EC₅₀ (nM)) for the human VPAC2 receptor is reported in Table 1 for the different assay formats.

TABLE 1 Peptide potency at human VPAC2 receptors Human VPAC2 Receptor: Human VPAC2 Receptor: Alphascreen DiscoveRx Agonist # (EC₅₀; nM) (EC₅₀; nM) VIP 1.0 0.7 PACAP-27 2.3 0.8 P410 128.8 P417 14.7 P451 68.6 P454 59.9 P460 430.2 P470 83.3 P472 123.3 P473 26.5 P475 109.3 P478 49.9 P483 33.5 P485 44.5 P490 115.6 P492 509.6 P495 116.7 P497 176.1 P499 57.7 P501 130.9 P503 146.8 P505 40.5 P507 27.1 P509 13.0 P511 7.6 P513 28.9 P517 7.5 P519 30.3 P521 22.1 P523 5.8 P525 25.0 P529 170.5 P531 94.6 P533 2382.0 P535 98.4 P537 32.0 P541 45.8 P545 45.0 P547 62.0 P539 10.7 47.3 P543 84.2 8.9 P551 15.6 P553 15.0 P555 22.5 8.1 P557 108.3 P560 13.8 11.3 P562 30.2 24.2 P566 11.8 7.8 P568 128.6 P570 13.4 4.5 P572 11.2 P574 21.2 36.1 P576 55.0 P578 205.3 P580 10.9 P582 20.3 P584 51.2 P586 122.4 P588 54.0 P590 4.1 P602 42.1 7.2

EXAMPLE 4 Selectivity

Binding assays: Membrane prepared from a stable VPAC2 cell line (see Example 3) or from cells transiently transfected with human VPAC1 or PAC1 are used. A filter binding assay is performed using 125I-labeled VIP for VPAC1 and VPAC2 and 125I-labeled PACAP-27 for PAC as the tracers.

For this assay, the solutions and equipment include:

-   -   Presoak solution: 0.5% Polyethyleneamine in Aqua dest     -   Buffer for flushing filter plates: 25 mM HEPES pH 7.4     -   Blocking buffer: 25 mM HEPES pH 7.4; 0.2% protease free BSA     -   Assay buffer: 25 mM HEPES pH 7.4; 0.5% protease free BSA     -   Dilution and assay plate: PS-Microplate, U form     -   Filtration Plate Multiscreen FB Opaque Plate; 1.0 mM Type B         Glasfiber filter

In order to prepare the filter plates, the presoak solution is aspirated by vacuum filtration. The plates are flushed twice with 200 μL flush buffer. 200 μL blocking buffer is added to the filter plate. The filter plate is then incubated with 200 μL presoak solution for 1 hour at room temperature.

The assay plate is filled with 25 μL assay buffer, 25 μL membranes (2.5 μg) suspended in assay buffer, 25 μL agonist in assay buffer, and 25 μL tracer (about 40000 cpm) in assay buffer. The filled plate is incubated for 1 hour with shaking.

The transfer from assay plate to filter plate is conducted. The blocking buffer is aspirated by vacuum filtration and washed two times with flush buffer. 90 μL is transferred from the assay plate to the filter plate. The 90 μL transferred from assay plate is aspirated and washed three times with 200 μL flush buffer. The plastic support is removed. It is dried for 1 hour at 60° C. 30 μL Microscint is added. The count is performed.

The receptor binding (IC₅₀) for human VPAC2, VPAC1 and PAC1 is reported in Table 2.

TABLE 2 Human Human Human VPAC2 VPAC1 PAC1 Receptor Receptor Receptor Binding Binding Binding Agonist # (IC50; nM) (IC50; nM) (IC50; nM) VIP 5.1 3.3 >1000 PACAP-27 2.6 4.5 10.2 P410 264.4 >25000 P417 24.1 >25000 P451 595.7 P454 36.6 >25000 P460 914.5 >25000 P470 262.9 P473 256.4 >25000 P475 436.0 P478 30.0 P483 37.3 >25000 P485 17.3 P490 13.2 P492 156.0 P495 142.1 P497 146.0 P499 34.0 >25000 P501 111.0 P503 41.5 P505 26.1 >25000 >25000 P509 11.2 >25000 P511 7.2 >25000 >25000 P513 50.5 P517 3.7 >25000 P519 51.6 P521 67.1 P523 4.8 P525 41.8 >25000 >25000 P529 192.4 P531 69.7 P533 959.0 P535 145.4 >25000 P537 17.2 >25000 >25000 P539 13.5 P541 59.8 >25000 P543 56.3 P545 79.9 >25000 >25000 P547 5.6 P551 16.6 >25000 >25000 P553 21.7 >25000 >25000 P555 15.4 >25000 >25000 P557 380.0 P560 11.6 P562 42.8 >25000 >25000 P566 8.2 P570 4.1 >25000 >25000 P572 14.9 >25000 >25000 P574 32.3 >25000 >25000 P580 20.7 >25000 >25000 P582 48.3 >25000 >25000 P590 7.4 >25000 >25000 P602 28.0 >25000 >25000

EXAMPLE 5 In Vitro Potency at rat VPAC1 and VPAC2 Receptors

DiscoveRx: CHO—PO cells are transiently transfected with rat VPAC1 or VPAC2 receptor DNA using commercially available transfection reagents (Lipofectamine from Invitrogen). The cells are seeded at a density of 10,000/well in a 96-well plate and are allowed to grow for 3 days in 200 ml culture medium. At day 3, the assay is performed.

On the day of the experiment, the medium is removed. Also, the cells are washed twice. The cells are incubated in assay buffer plus IBMX for 15 minutes at room temperature. Afterwards, the stimuli are added and are dissolved in assay buffer. The stimuli are present for 30 minutes. Then, the assay buffer is gently removed. The cell lysis reagent of the DiscoveRx cAMP kit is added. Thereafter, the standard protocol for developing the cAMP signal as described by the manufacturer is used (DiscoveRx Inc., USA). EC₅₀ values for cAMP generation are calculated from the raw signal or are based on absolute cAMP levels as determined by a standard curve performed on each plate.

Results for each agonist are the mean of two independent runs. Rat VPAC1 and VPAC2 results are only generated using the DiscoveRx assay. The typically tested concentrations of peptide are: 1000, 300, 100, 10, 1, 0.3, 0.1, 0.01, 0.001, 0.0001 and 0 nM.

The activity (EC₅₀(nM)) for the rat VPAC2 and VPAC1 receptors is reported in Table 3.

TABLE 3 Rat Rat VPAC1 VPAC2 Receptor: Receptor: DiscoveRx: DiscoveRx: Agonist # (EC₅₀; nM) (EC₅₀; nM) VIP 0.01 0.6 P410 >1000 318.5 P417 232.3 8.7 P454 1229.5 79.6 P460 >1000 1163.1 P470 >1000 110.9 P472 >1000 284.6 P473 >1000 25.5 P475 >1000 220.4 P478 2053.8 120.1 P483 223.9 128.4 P485 734.9 42.5 P490 >1000 191.8 P492 >4000 962.7 P497 >1000 344.7 P499 803.8 68.2 P501 >1000 272.1 P503 >4000 520.3 P505 639.4 42.6 P507 >1000 94.9 P509 328.4 28.2 P511 61.9 13.9 P517 92.4 10.0 P521 602.4 33.1 P523 20.4 5.3 P525 1137.3 44.0 P529 1182.9 199.3 P531 300.7 69.9 P535 >1000 317.6 P537 205.8 38.8 P539 32.6 21.0 P541 665.1 101.9 P543 355.0 101.1 P545 380.5 99.5 P547 76.2 149.8 P551 171.9 13.2 P553 261.8 22.0 P555 68.9 32.5 P557 581.1 397.2 P560 155.6 20.4 P562 393.4 52.5 P566 52.7 13.1 P568 >1000 250.3 P570 86.7 21.3 P572 94.5 10.8 P574 162.9 33.8 P576 460.9 67.4 P578 269.4 305.6 P580 1.1 11.9 P582 137.4 31.0 P584 188.1 67.2 P586 501.6 186.8 P588 406.3 311.2 P590 245.0 6.9 P602 209.0 36.9

EXAMPLE 6 In Vivo Assays

Intravenous glucose tolerance test (IVGTT): Normal Wistar rats are fasted overnight and are anesthetized prior to the experiment. A blood sampling catheter is inserted into the rats. The agonist is given subcutaneously, normally 24 h prior to the glucose challenge. Blood samples are taken from the carotid artery. A blood sample is drawn immediately prior to the injection of glucose along with the agonist. After the initial blood sample, glucose mixed is injected intravenously (i.v.). A glucose challenge of 0.5 g/kg body weight is given, injecting a total of 1.5 mL vehicle with glucose and agonist per kg body weight. The peptide concentrations are varied to produce the desired dose in μg/kg. Blood samples are drawn at 2, 4, 6 and 10 minutes after giving glucose. The control group of animals receives the same vehicle along with glucose, but with no agonist added. In some instances, 20 and 30 minute post-glucose blood samples were drawn. Aprotinin is added to the blood sample (250-500 kIU/ml blood). The plasma is then analyzed for glucose and insulin using standard methodologies.

The assay uses a formulated and calibrated peptide stock in PBS. Normally, this stock is a prediluted 100 mM stock. However, a more concentrated stock with approximately 1 mg agonist per mL is used. The specific concentration is always known. Variability in the maximal response is mostly due to variability in the vehicle dose. Protocol details are as follows:

SPECIES/STRAIN/WEIGHT Rat/Wistar Unilever/ approximately 275-300 g TREATMENT DURATION Single dose DOSE VOLUME/ROUTE 1.5 mL/kg/iv VEHICLE 8% PEG300, 0.1% BSA in water FOOD/WATER REGIMEN Rats are fasted overnight prior to surgery. LIVE-PHASE PARAMETERS Animals are sacrificed at the end of the test. IVGTT: Performed on rats (with two Glucose IV bolus: 500 mg/ catheters, jugular vein and carotid kg as 10% solution artery) of each group, under (5 mL/kg) at time = 0. pentobarbital anesthesia. Compound iv: 0-240 min prior to glucose Blood samplings (300 μL from carotid artery; EDTA as anticoagulant; aprotinin and PMSF as antiproteolytics; kept on ice): 0, 2, 4, 6, and 10, 20 and 30 minutes. Parameters determined: Insulin + glucose TOXICOKINETICS Plasma samples remaining after insulin measurements are kept at −20° C. and compound levels are determined.

TABLE 4a Time % increase between AUC: Dose = % increase % increase glucose & 0.09 AUC: Dose = AUC: Dose = Agonist # compound mg/kg 0.1 mg/kg 0.3 mg/kg P505 24 h 12 74 P511 24 h 38 59 P525 24 h 72 208 P570 24 h 36 P602 24 h 73 198 AUC = Area under curve (insulin, 0-10 min after glucose) Pharmacokinetic profiles of PEGylated peptides. Healthy Fisher 344 rats (3 animals per group) were injected with 100 μg agonist/kg (agonist amount based on peptide content and dissolved in PBS buffer). Blood samples were drawn 3, 12, 24, 48, 72, 96 and 168 hour post dosing and the peptide content in plasma was analysed by a radio-immunoassay (RIA) directed against the N-terminus of the peptide. PK parameters were then calculated using a model-independent method (WinNonlin Pro, Pharsight Corp., Mountain View, Calif., USA).

TABLE 4b PK parameters of PEGylated peptide agonists. Mean and (SD) values for N = 3. Cmax Tmax AUC_(0-last) T½ CI/F Vd/F Agonist # (ng/mL) (h) (ng*h/mL) (h) (mL/h/kg) (mL/kg) P499 132 24 6650 25 15 529  (9) (<1) (1294)  (5) (2)  (85) P505 160 12 7006 22 13 425 (30) (<1) (890) (5) (1) (116) P511 100 16 3067 NC NC NC (16)  (7) (374) NC NC NC P521 233 12 7633 19 13 380 (29) (<1) (1871)  (6) (3) (208) P525 133 16 4740 22 20 642 (21)  (7) (486) (3) (2) (126) P539 102 24 4013 15 25 540 (16) (<1) (511) (2) (3) (129) P545 139 72 12737  43  7 457 (48) (42) (2492)  (5) (2)  (66) P555 102 16 4918 13 20 389  (9)  (7) (597) (1) (3)  (65) P562 120 24 5456 25 19 673 (67) (21) (2157)  (7) (6) (315) P570  71 20 3891 25 25 877 (34)  (7) (1309)  (4) (7) (326) P574  70 20 3408 18 28 727  (6)  (7) (312) (2) (2)  (71) *NC = not calculated due to insufficient data

EXAMPLE 7 Rat Serum Stability Studies

In order to determine the stability of VPAC2 receptor peptide agonists in rat serum, CHO-VPAC2 cells clone #6 (96 well plates/50,000 cells/well and 1 day culture), PBS 1× (Gibco), the peptides for the analysis in a 100 μM stock solution, rat serum from a sacrificed normal Wistar rat, aprotinin, and a DiscoveRx assay kit are obtained. The rat serum is stored at 4° C. until use and is used within two weeks.

On Day 0, two 100 μL aliquots of 10 μM peptide in rat serum are prepared by adding 10 μL peptide stock to 90 μL rat serum for each aliquot. 250 kIU aprotinin/mL is added to one of these aliquots. The aliquot is stored with aprotinin at 4° C. The aliquot is stored without aprotinin at 37° C. The aliquots are incubated for 24 or 72 hours.

On Day 1, after incubation of the aliquots prepared on day 0 for 24 or 72 hours, an incubation buffer containing PBS+1.3 mM CaCl₂, 1.2 mM MgCl₂, 2 mM glucose, and 0.25 mM IBMX is prepared. A plate with 11 serial 5× dilutions of peptide for the 4° C. and 37° C. aliquot is prepared for each peptide studied. 2000 nM is used as the maximal concentration if the peptide has an EC₅₀ above 1 nM and 1000 nM as maximal concentration if the peptide has an EC₅₀ below 1 nM from the primary screen (see Example 3). The plate(s) are washed with cells twice in incubation buffer. The plates are allowed to hold 50 μL incubation media per well for 15 minutes. 50 μL solution per well is transferred to the cells from the plate prepared with 11 serial 5× dilutions of peptide for the 4° C. and 37° C. aliquot for each peptide studied, using the maximal concentrations that are indicated by the primary screen, in duplicate. This step dilutes the peptide concentration by a factor of two. The cells are incubated at room temperature for 30 minutes. The supernatant is removed. 40 μL/well of the DiscoveRx antibody/extraction buffer is added. The cells are incubated on the shaker (300 rpm) for 1 hour. Normal procedure with the DiscoveRx kit is followed. cAMP standards are included in column 12. EC₅₀ values are determined from the cAMP assay data. The remaining amount of active peptide is estimated by the formula EC_(50, 4° C.)/EC_(50, 37° C.) for each condition.

TABLE 5 Estimated peptide stability after 24 h or 72 h in rat serum at 37° C. Agonist # 24 h stab (%) 72 h stab (%) VIP 0.2 P417 265 P472 66 P473 86 P475 61 P478 34 P483 22 P485 65 P492 131 P503 174 P505 133 161 P521 294 P523 281 P525 298 353 P529 119 P543 119 P539 123 P555 117 P557 131 P560 192 P562 213 P566 152 P574 288 P602 573 ¹Values > 100% may represent release of intact peptide from the PEG conjugate

EXAMPLE 8 PEGylation of Selective VPAC2 Receptor Peptide Agonists Using Thiol-Based Chemistry

In general, PEGylation reactions are run under conditions that permit the formation of a thioether bond. Specifically, the pH of the solution ranges from about 4 to 9 and the thiol-containing peptide concentrations range from 0.7 to 10 molar excess of PEG maleimide concentration. The PEGylation reactions are normally run at room temperature. The PEGylated VPAC2 receptor peptide agonist is then isolated using reverse-phase HPLC or size exclusion chromatography (SEC). PEGylated peptide agonists are characterized using analytical RP-HPLC, HPLC-SEC, SDS-PAGE, and/or MALDI Mass Spectrometry.

Usually a thiol function is introduced into or onto a selective VPAC2 receptor peptide agonist by adding a cysteine or a homocysteine or a thiol-containing moiety at either or both termini or by inserting a cysteine or a homocysteine or a thiol-containing moiety into the sequence. Thiol-containing VPAC2 receptor peptide agonists are reacted with 40 kDa, 30 kDa or 20 kDa PEG-maleimide to produce derivatives with PEG covalently attached via a thioether bond.

Synthesis of P505

19 mg of the peptide precursor (non-PEGylated P505) and 162 mg of methoxy-PEG-maleimide (NOF, Japan) with an average molecular weight of 20,000 Daltons are dissolved in 2 mL of 100 mM NH₄Ac buffer containing 10 mM EDTA (pH 6.8) and the reaction is allowed to proceed for 4 h. 97 mg of the product is obtained as a lyophilized powder after preparative RP-HPLC purification. The PEGylated peptide agonist is characterized by RP-HPLC and size-exclusion HPLC, and tested for in vitro activity.

Synthesis of P525

18.7 mg of the peptide precursor (non-PEGylated P525) and 157 mg of methoxy-PEG-maleimide with an average molecular weight of 20,000 Daltons are dissolved in 2 mL of 100 mM NH₄Ac buffer containing 10 mM EDTA (pH 6.8) and the reaction is allowed to proceed for 4 h. 114 mg of the product is obtained as a lyophilized powder after preparative RP-HPLC purification. The PEGylated peptide agonist is characterized by RP-HPLC and size-exclusion HPLC, and tested for in vitro activity.

Synthesis of P572

22.3 mg of the peptide precursor (non-PEGylated P572), and 177 mg of methoxy-PEG-maleimide with an average molecular weight of 20,000 Daltons are dissolved in 2 mL of 100 mM NH₄Ac buffer containing 10 mM EDTA (pH 6.8) and the reaction is allowed to proceed for 4 h. 137 mg of the product is obtained as a lyophilized powder after preparative RP-HPLC purification. The PEGylated peptide agonist is characterized by RP-HPLC and size-exclusion HPLC, and tested for in vitro activity.

Synthesis of P574

31.9 mg of the peptide precursor (non-PEGylated P574) and 283 mg of methoxy-PEG-maleimide with an average molecular weight of 20,000 Daltons are dissolved in 3 mL of 100 mM NH₄Ac buffer containing 10 mM EDTA (pH 6.8) and the reaction is allowed to proceed for 4 h. 171 mg of the product is obtained as a lyophilized powder after two runs of preparative RP-HPLC purifications. The PEGylated peptide agonist is characterized by RP-HPLC and size-exclusion HPLC, and tested for in vitro activity.

Synthesis of P602

20 mg of the peptide precursor (non-PEGylated P602) and 223 mg of methoxy-poly(ethyleneglycol) maleimido-propioaamide (Chirotech Technology Ltd., UK) with an average molecular weight of 30,000 Daltons are dissolved in 2 mL of 100 mM NH₄Ac buffer containing 10 mM EDTA (pH 6.8) and the reaction is allowed to proceed for 4 h. 132 mg of the product is obtained as a lyophilized powder after preparative RP-HPLC purification. The PEGylated peptide agonist is characterized by RP-HPLC and size-exclusion HPLC, and tested for in vitro activity.

EXAMPLE 9 PEGylation Via Acylation on the Sidechain of Lysine

In order to achieve site-specific PEGylation of selective VPAC2 receptor peptide agonists, all the Lys residues are changed into Arg residues except for Lys residues where PEGylation is intended. A PEG molecule which may be used is mPEG-SBA-20K (Nektar, Lot #: PT-04E-11). The PEGylation reaction is preferably performed at room temperature for 2-3 hours. The peptide is purified by preparative HPLC.

EXAMPLE 10 PEGylation via Pictet-Spengler Reaction

For PEGylation via Pictet-Spengler reaction to occur, a Trp residue with its free amine is needed to incorporate the PEG molecule onto the selective VPAC2 receptor peptide agonist. To couple a Trp residue onto the sidechain of Lys residue. The extensive SAR indicates that this modification does not change the properties of the parent peptide in terms of its in vitro potency and selectivity.

PEG with a functional aldehyde, for example mPEG2-BUTYRALD-40K (Nektar, USA), is used for the reaction. The site specific PEGylation involves the formation a tetracarboline ring between PEG and the peptide. PEGylation is conducted in glacial acetic acid at room temperature for 1 to 48 hours. A 1 to 10 molar excess of the PEG aldehyde is used in the reaction. After the removal of acetic acid, the PEGylated VPAC2 receptor peptide agonist is isolated by preparative RP-HPLC.

Synthesis of P535

27.7 mg of the peptide precursor (non-PEGylated P535) and 590 mg of mPEG2-BUTYRALD-40K are dissolved in 3 mL acetic acid and the reaction is allowed to proceed for 2 days. The product is isolated by preparative RP-HPLC to yield 94 mg of the PEGylated peptide agonist as a lyophilized powder. The PEGylated peptide agonist is characterized by RP-HPLC and size-exclusion HPLC, and tested for in vitro.

Synthesis of P557

23 mg of the peptide precursor (non-PEGylated P557) and 460 mg of mPEG2-BUTYRALD-40K are dissolved in 3 mL acetic acid and the reaction is allowed to proceed for 2 days. The product is isolated by preparative RP-HPLC to yield 50 mg of the PEGylated peptide agonist as a lyophilized powder. The PEGylated peptide agonist is characterized by RP-HPLC and size-exclusion HPLC, and tested for in vitro.

Other modifications of the present invention will be apparent to those skilled in the art without departing from the scope of the invention. 

1. A PEGylated VPAC2 receptor peptide agonist comprising an amino acid sequence selected from the group consisting of: SEQ ID NO: 17 HSDAVFTEQY(OMe)TRAibRAibQLAAAibOrnY (OMe)LQSIKAibOrn; SEQ ID NO: 18 HSDAVFTEK(CO(CH₂)₂SH)Y(OMe)TOrnLRAib QVAAAibOrnYLQSIOrnOrn; SEQ ID NO: 19 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYL QSIOrnK(W)Orn; SEQ ID NO: 20 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK(CO (CH₂)₂SH)YLQSIOrnOrn; SEQ ID NO: 21 HSDAVFTEQY(OMe)TOrnLRAibQVAAK(CO (CH₂)₂SH)OrnYLQSIOrnOrn; SEQ ID NO: 22 HSDAVFTEQY(OMe)TOrnLRAibQVCAAibOrnYL QSIOrnOrn; SEQ ID NO: 23 HSDAVFTEQY(OMe)TOrnLRCQVAAAibOrnYLQS IOrnOrn; SEQ ID NO: 24 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYL QSIOrnOrn; SEQ ID NO: 25 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnY AibQSIOrnOrn; SEQ ID NO: 26 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYL QAibIOrnOrn; SEQ ID NO: 27 HSDAVFTEQY(OMe)TOrnLRAibQVAAbuAibOrn YLQAibIOrnOrn; SEQ ID NO: 28 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYL QAibIOrnOrn; SEQ ID NO: 29 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnY AibQAibIOrnOrn; SEQ ID NO: 30 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YAibQSIOrnOrn; SEQ ID NO: 31 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQSIOrnOrn; SEQ ID NO: 32 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YAibQAibIOrnOrn; SEQ ID NO: 33 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnY AibQSIOrnOrn; SEQ ID NO: 34 HSDAVFTEQY(OMe)TOrnLRK(W)QVAAAibOrnY LQSIOrnOrn; SEQ ID NO: 35 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYL K(W)SIOrnOrn; SEQ ID NO: 36 HSDAVFTEQY(OMe)TOrnLRAibQK(W)AAAib OrnYLQSIOrnOrn; SEQ ID NO: 37 HSDAVFTEQY(OMe)TOrnLRK(CO(CH₂)₂SH)QV AAAibOrnYLQSIOrnOrn; SEQ ID NO: 38 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK(W)Y LQSIOrnOrn; SEQ ID NO: 39 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibCYLQS IOrnOrn; SEQ ID NO: 40 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQAibIOrnOrn; SEQ ID NO: 41 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYL QSK(W)OrnOrn; SEQ ID NO: 42 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQAibIOrnCOrn; SEQ ID NO: 43 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQAibCOrnOrn; SEQ ID NO: 44 HSDAVFTEQY(OMe)TOrnLRAibQCAAbuAibOrn YLQAibIOrnOrn; SEQ ID NO: 45 HSDAVFTEQY(OMe)TOrnLRCQLAAbuAibOrnYL QAibIOrnOrn; SEQ ID NO: 94 HSDAVFTEQY(OMe)TOrnLRAibQVK(CO(CH₂)₂ SH)AAibOrnYLQSIOrnOrn; SEQ ID NO: 95 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQSIOrnCOrn; SEQ ID NO: 96 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQSCOrnOrn; SEQ ID NO: 97 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQAibIOrnK(CO(CH₂)₂SH)Orn; SEQ ID NO: 98 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQSIOrnK(CO(CH₂)₂SH)Orn; SEQ ID NO: 99 HSDAVFTEQY(OMe)TOrnLRK(W)QLAAbuAib OrnYLQAibIOrnOrn; SEQ ID NO: 100 HSDAVFTEQY(OMe)TOrnLRAibQLAAAibOrnYL QSIOrnOrnC; SEQ ID NO: 101 HSDAVFTEQY(OMe)TOrnLRAibQVAAAibOrnYL QSIOrnOrnC; SEQ ID NO: 102 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQSIOrnOrnC; SEQ ID NO: 103 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn Y(OMe)LQAibIOrnOrn; SEQ ID NO: 104 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn Y(OMe)LQAibIOrnCOrn; SEQ ID NO: 105 HSDAVFTEQY(OMe)TOrnLRAibQCAAbuAibOrn Y(OMe)LQAibIOrnOrn; SEQ ID NO: 106 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn YLQAibIOrnOrnC; SEQ ID NO: 107 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn Y(OMe)LQSIOrnOrn; SEQ ID NO: 108 HSDAVFTEQY(OMe)TOrnLRAibQCAAbuAibOrn Y(OMe)LQSIOrnOrn; SEQ ID NO: 109 HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAibOrn Y(OMe)LQSIOrnCOrn; SEQ ID NO: 110 HSDAVFTEQY(OMe)TOrnLRAibQLAbuAAibOrn YLQSIOrnOrn; SEQ ID NO: 111 HSDAVFTEQY(OMe)TOrnLRAibQK(CO(CH₂)₂ SH)AAbuAibOrnYLQAibIOrnOrn; and SEQ ID NO: 112 HSDAVFTEQY(OMe)TOrnLRAibQK(W)AAbuAib OrnYLQAibIOrnOrn;

and a C-terminal extension wherein the N-terminus of said C-terminal extension is linked to the C-terminus of said peptide and wherein said C-terminal extension is selected from the group consisting of: SEQ ID NO: 5 GGPSSGAPPPS; SEQ ID NO: 6 GGPSSGAPPPS-NH₂; SEQ ID NO: 7 GGPSSGAPPPC; SEQ ID NO: 8 GGPSSGAPPPC-NH₂; SEQ ID NO: 9 GRPSSGAPPPS; SEQ ID NO: 10 GRPSSGAPPPS-NH₂; SEO ID NO: 11 GGPSSGAPPPCC; and SEQ ID NO: 12 GGPSSGAPPPCC-NH₂.

and wherein: said peptide agonist comprises at least one Cys residue which is covalently attached to a PEG molecule, or said peptide agonist comprises at least one Lys residue which is covalently attached to a PEG molecule, or said peptide agonist comprises at least one K(W) which is covalently attached to a PEG molecule, or said peptide agonist comprises at least one K(CO(CH₂)₂SH) which is covalently attached to a PEG molecule, or the carboxy-terminal amino acid of said peptide agonist is covalently attached to a PEG molecule, or a combination thereof.
 2. (canceled)
 3. The PEGylated VPAC2 receptor peptide agonist according to claim 1, wherein said C-terminal extension is GGPSSGAPPPCC (SEQ ID NO: 11) or GGPSSGAPPPCC—NHQSEQ ID NO: 12).
 4. The PEGylated VPAC2 receptor peptide agonist according to claim 1, wherein there is at least one PEG molecule covalently attached to a residue in said C-terminal extension.
 5. The PEGylated VPAC2 receptor peptide agonist according to claim 1, wherein the PEG molecule is branched.
 6. The PEGylated VPAC2 receptor peptide agonist according to claim 1, wherein the PEG molecule is linear.
 7. The PEGylated VPAC2 receptor peptide agonist according to claim 1, wherein each PEG molecule is 20,000, 30,000, 40,000 or 60,000 daltons in molecular weight.
 8. The PEGylated VPAC2 receptor peptide agonist according to claim 1, further comprising an N-terminal modification at the N-terminus of said peptide agonist, wherein said N-terminal modification is selected from the group consisting of: (a) addition of D-histidine, isoleucine, methionine, or norleucine; (b) addition of a peptide comprising the amino acid sequence Ser-Trp-Cys-Glu-Pro-Gly-Trp-Cys-Arg (SEQ ID NO: 93) wherein said Arg is linked to the N-terminus of said peptide agonist; (c) addition of C₁-C₁₆ alkyl optionally substituted with one or more substituents independently selected from aryl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; (d) addition of —C(O)R¹ wherein R¹ is a C₁-C₁₆ alkyl optionally substituted with one or more substituents independently selected from aryl, C₁-C₆ alkoxy, —NH₂, —OH, halogen, —SH and —CF₃; an aryl optionally substituted with one or more substituents independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; an aryl C₁-C₄ alkyl optionally substituted with one or more substituents independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; —NR²R³ wherein R² and R³ are independently hydrogen, C₁-C₆ alkyl, aryl or aryl C₁-C₄ alkyl; —OR⁴ wherein R⁴ is C₁-C₁₆ alkyl optionally substituted with one or more substituents independently selected from aryl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃, aryl optionally substituted with one or more substituents independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃ or aryl C₁-C₄ alkyl optionally substituted with one or more substituents independently selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, —NH₂, —OH, halogen and —CF₃; or 5-pyrrolidin-2-one; (e) addition of —SO₂R⁵ wherein R⁵ is aryl, aryl C₁-C₄ alkyl or C₁-C₁₆ alkyl; (f) formation of a succinimide group optionally substituted with C₁-C₆ alkyl or —SR⁶, wherein R⁶ is hydrogen or C₁-C₆ alkyl; (g) addition of methionine sulfoxide; (h) addition of biotinyl-6-aminohexanoic acid (6-aminocaproic acid); and (i) addition of —C(═NH)—NH₂.
 9. The PEGylated VPAC2 receptor peptide agonist according to claim 8, further comprising an N-terminal modification, wherein said N-terminal modification is the addition of a group selected from the group consisting of: acetyl, propionyl, butyryl, pentanoyl, hexanoyl, methionine, methionine sulfoxide, 3-phenylpropionyl, phenylacetyl, benzoyl, norleucine, D-histidine, isoleucine, 3-mercaptopropionyl, biotinyl-6-aminohexanoic acid (6-aminocaproic acid), and —C(═NH)—NH₂.
 10. The PEGylated VPAC2 receptor peptide agonist according to claim 9, wherein said N-terminal modification is the addition of acetyl or hexanoyl.
 11. The PEGylated VPAC2 receptor peptide agonist according to claim 1, comprising an amino acid sequence selected from the group consisting of: SEQ ID NO: 46 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK (W-PEG40K)YLQSIOrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 47 C6-HSDAVFTEQY(OMe)TRAibRAibQLAAAib OrnY(OMe)LQSIKAibOrnGGPSSGAPPPC(PEG 40K)-NH₂; SEQ ID NO: 48 C6-HSDAVFTEK(CO(CH₂)₂SPEG40K)Y(OMe)T OrnLRAibQVAAAibOrnYLQSIOrnOrnGGPSSGA PPPS-NH₂; SEQ ID NO: 49 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSIOrnK(WPEG40K)OrnGGPSSGAPPPS- NH₂; SEQ ID NO: 50 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibC (PEG40K)YLQSIOrnOrnGGPSSGAPPPS-NH₂; SEQ ID NO: 51 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK (CO(CH₂)₂SPEG40K)YLQSIOrnOrnGGPSSGAP PPS-NH₂; SEO ID NO: 52 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAibK (CO(CH₂)₂SPEG20K)YLQSIOrnOrnGGPSSGAP PPS-NH₂; SEQ ID NO: 53 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAK(CO (CH₂)₂SPEG40K)OrnYLQSIOrnOrnGGPSSGAP PPS-NH₂; SEQ ID NO: 54 C6-HSDAVFTEQY(OMe)TOrnLRAibQVC(PEG40 K)AAibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂; SEQ ID NO: 55 C6-HSDAVFTEQY(OMe)TOrnLRC(PEG40K)QVA AAibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂; SEQ ID NO: 56 C6-HSDAVFTEQY(OMe)TOrnLRK(CO(CH₂)₂SP EG40K)QVAAAibOrnYLQSIOrnOrnGGPSSGAPP PS-NH₂; SEQ ID NO: 57 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYAibQSIOrnOrnGGPSSGAPPPC(PEG40K)- NH₂; SEQ ID NO: 58 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQAibIOrnOrnGGPSSGAPPPC(PEG40K)- NH₂; SEQ ID NO: 59 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAbuAib OrnYLQAibIOrnOrnGGPSSGAPPPC(PEG40K)- NH₂; SEQ ID NO: 60 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAib OrnYAibQSIOrnOrnGGPSSGAPPPC(PEG20K)C (PEG20K)-NH₂; SEQ ID NO: 61 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAib OrnYLQAibIOrnOrnGGPSSGAPPPC(PEG20K)C (PEG20K)-NH₂; SEQ ID NO: 62 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibIOrnOrnGGPSSGAPPPC(PEG20K)C (PEG20K)-NH₂; SEQ ID NO: 63 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAib OrnYAibQAibIOrnOrnGGPSSGAPPPC(PEG20 K)C(PEG20K)-NH₂; SEQ ID NO: 64 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYAibQSIOrnOrnGGPSSGAPPPC(PEG20K)C (PEG20K)-NH₂; SEQ ID NO: 65 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQSIOrnOrnGGPSSGAPPPC(PEG20K)C (PEG20K)-NH₂; SEQ ID NO: 66 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYAibQAibIOrnOrnGGPSSGAPPPC(PEG20 K)C(PEG20K)-NH₂; SEQ ID NO: 67 C6-HSDAVFTEQY(OMe)TOrnLRK(WPEG40K)QV AAAibOrnYLQSIOrnOrnGGPSSGAPPPS-NH₂; SEQ ID NO: 68 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLK(WPEG40K)SIOrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 69 C6-HSDAVFTEQY(OMe)TOrnLRAibQWK(WPEG 40K)AAAibOrnYLQSIOrnOrnGGPSSGAPPPS- NH₂; SEO ID NO: 70 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSK(WPEG40K)OrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 71 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibIOrnC(PEG40K)OrnGGPSSGAPPP S-NH₂; SEQ ID NO: 72 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibC(PEG40K)OrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 73 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG40 K)AAbuAibOrnYLQAibIOrnOrnGGPSSGAPPP S-NH₂; SEQ ID NO: 74 C6-HSDAVFTEQY(OMe)TOrnLRC(PEG40K)QLA AbuAibOrnYLQAibIOrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 113 C6-HSDAVFTEQY(OMe)TOrnLRAibQVK(CO (CH₂)₂SPEG40K)AAibOrnYLQSIOrnOrnGGPS SGAPPPS-NH₂; SEQ ID NO: 114 C6-HSDAVFTEQY(OMe)TOrnLRAibQVK(CO (CH₂)₂SPEG20K)AAibOrnYLQSIOrnOrnGGPS SGAPPPS-NH₂; SEQ ID NO: 115 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQSIOrnC(PEG40K)OrnGGPSSGAPPPS- NH₂; SEQ ID NO: 116 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQSC(PEG40K)OrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 117 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibIOrnK(CO(CH₂)₂SPEG20K)OrnGG PSSGAPPPC(PEG20K)-NH₂; SEQ ID NO: 118 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQSIOrnK(CO(CH₂)₂SPEG20K)OrnGGPS SGAPPPC(PEG20K)-NH₂; SEQ ID NO: 119 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQSIOrnC(PEG20K)OrnGGPSSGAPPPC (PEG20K)-NH₂; SEQ ID NO: 120 C6-HSDAVFTEQY(OMe)TOrnLRK(WPEG40K)QL AAbuAibOrnYLQAibIOrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 121 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAAib OrnYLQSIOrnOrnC(PEG40K)GGPSSGAPPPS- NH₂; SEQ ID NO: 122 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSIOrnOrnC(PEG20K)GGPSSGAPPPC (PEG20K)-NH₂; SEQ ID NO: 123 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibIOrnOrnC(PEG40K)GGPSSGAPPP S-NH₂; SEQ ID NO: 124 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQSIOrnOrnC(PEG40K)GGPSSGAPPPS- NH₂; SEQ ID NO: 125 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQSIOrnOrnC(PEG20K)GGPSSGAPPPC (PEG20K)-NH₂; SEQ ID NO: 126 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnY(OMe)LQAibIOrnOrnGGPSSGAPPPC(PEG 20K)C(PEG20K)-NH₂; SEQ ID NO: 127 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnY(OMe)LQAibIOrnC(PEG40K)OrnGGPSSG APPPS-NH₂; SEQ ID NO: 128 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG40 K)AAbuAibOrnY(OMe)LQAibIOrnOrnGGPSSG APPPS-NH₂; SEQ ID NO: 129 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibIOrnOrnC(PEG20K)GGPSSGAPPPC (PEG20K)-NH₂; SEQ ID NO: 130 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnY(OMe)LQSIOrnOrnGGPSSGAPPPC(PEG20 K)C(PEG20K)-NH₂; SEQ ID NO: 131 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnY(OMe)LQSIOrnC(PEG40K)OrnGGPSSGAP PPS-NH₂; SEQ ID NO: 132 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG40 K)AAbuAibOrnY(OMe)LQSIOrnOrnGGPSSGAP PPS-NH₂; SEQ ID NO: 133 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnY(OMe)LQSIOrnC(PEG20K)OrnGGPSSGAP PPC(PEG20K)-NH₂; SEQ ID NO: 134 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAbuAAib OrnYLQSIOrnOrnGGPSSGAPPPC(PEG20K)C (PEG20K)-NH₂; SEQ ID NO: 135 C6-HSDAVFTEQY(OMe)TOrnLRAibQK(CO (CH₂)₂SPEG20K)AAbuAibOrnYLQAibIOrn OrnGGPSSGAPPPC(PEG20K)-NH₂; SEQ ID NO: 136 C6-HSDAVFTEQY(OMe)TOrnLRAibKCO(CH₂)₂ SPEG40K)AAbuAibOrnYLQAibIOrnOrnGGPSS GAPPPS-NH₂; SEQ ID NO: 137 C6-HSDAVFTEQY(OMe)TOrnLRAibQK(WPEG40 K)AAbuAibOrnYLQAibIOrnOrnGGPSSGAPPP S-NH₂; SEQ ID NO: 139 C6-HSDAVFTEK(CO(CH₂)₂SPEG20K)Y(OMe)T OrnLRAibQVAAAibOrnYLQSIOrnOrnGGPSSGA PPPS-NH₂; SEQ ID NO: 140 C6-HSDAVFTEQY(OMe)TOrnLRK(CO(CH₂)₂SP EG20K)QVAAAibOrnYLQSIOrnOrnGGPSSGAPP PS-NH₂; SEQ ID NO: 141 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibIOrnC(PEG20K)OrnGGPSSGAPPPC (PEG20K)NH₂; SEQ ID NO: 144 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYLQAibIOrnOrnGGPSSGAPPPC(PEG30K)C (PEG30K)-NH₂; SEQ ID NO: 146 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG20 K)AAbuAibOrnYLQAibIOrnOrnGGPSSGAPPPC (PEG20K)-NH₂; SEQ ID NO: 147 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAK(CO (CH₂)₂SPEG20K)OrnYLQSIOrnOrnGGPSSGAP PPS-NH₂; SEQ ID NO: 148 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYAibQSIOrnOrnGGPSSGAPPPC(PEG30K)C (PEG30K)-NH₂.


12. A PEGylated VPAC2 receptor peptide agonist comprising an amino acid sequence selected from the group consisting of: SEQ ID NO: 75 C6-HSDAVFTEQY(OMe)TOrnK(CO(CH₂)₂SPE G20K)RAibQVAAAibOrnYLQSIOrnOrnGGPSSG APPPS-NH₂; SEQ ID NO: 76 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLK(CO(CH₂)₂SPEG20K)SIOrnOrnGGPSS GAPPPC(PEG20K)-NH₂; SEQ ID NO: 77 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAK(CO (CH₂)₂SPEG20K)AibOrnYLQSIOrnOrnGGPSS GAPPPC(PEG20K)-NH₂; SEQ ID NO: 78 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQK(CO(CH₂)₂SPEG20K)IOrnOrnGGPSS GAPPPC(PEG20K)-NH₂; SEQ ID NO: 79 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSK(CO(CH₂)₂SPEG20K)OrnOrnGGPSS GAPPPC(PEG20K)-NH₂; SEQ ID NO: 80 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSIOrnK(CO(CH₂)₂SPEG20K)OrnGGPS SGAPPPC(PEG20K)-NH₂; SEQ ID NO:81 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLC(PEG20K)SIOrnOrnGGPSSGAPPPC(PE G20K)-NH₂; SEQ ID NO: 82 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSC(PEG20K)OrnOrnGGPSSGAPPPC(PE G20K)-NH₂; SEQ ID NO: 83 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSIOrnC(PEG20K)OrnGGPSSGAPPPC(P EG20K)-NH₂; SEQ ID NO: 138 C6-HSDAVFTEQY(OMe)TOrnLRAibQVAAAib OrnYLQSIOrnOrnGGPSSGAPPPK(W-PEG40K)- NH₂; SEQ ID NO: 142 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG20 K)AAAibOrnYLQSIOrnOrnGGPSSGAPPPS- NH₂; SEQ ID NO: 143 C6-HSDAVFTEQY(OMe)TOrnLRAibQC(PEG20 K)AAAibOrnYLQSIOrnOrnGGPSSGAPPPC(PEG 20K)-NH₂; and SEQ ID NO: 145 C6-HSDAVFTEQY(OMe)TOrnLRAibQLAAbuAib OrnYAibQAibIOrnOrnGGPSSGAPPPK(WPEG40 K)-NH₂.


13. A PEGylated VPAC2 receptor peptide agonist, comprising a sequence of the formula: Formula 4 (SEQ ID NO: 4) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Thr-Xaa₈-Xaa₉-Xaa₁₀- Thr-Xaa₁₂-Xaa₁₃-Xaa₁₄-Xaa₁₅-Xaa₁₆-Xaa₁₇-Xaa₁₈-Abu- Xaa₂₀-Xaa₂₁-Xaa₂₂-Xaa₂₃-Xaa₂₄-Xaa₂₅-Xaa₂₆-Xaa₂₇- Xaa₂₈-Xaa₂₉-Xaa₃₀-Xaa₃₁-Xaa₃₂-Xaa₃₃-Xaa₃₄-Xaa₃₅- Xaa₃₆-Xaa₃₇-Xaa₃₈-Xaa₃₉-Xaa₄₀

wherein: Xaa₁ is: His, dH, or is absent; Xaa₂ is: dA, Ser, Val, Gly, Thr, Leu, dS, Pro, or Aib; Xaa₃ is: Asp or Glu; Xaa₄ is: Ala, Ile, Tyr, Phe, Val, Thr, Leu, Trp, Gly, dA, Aib, or NMeA; Xaa₅ is: Val, Leu, Phe, Ile, Thr, Trp, Tyr, dV, Aib, or NMeV; Xaa₆ is: Phe, Ile, Leu, Thr, Val, Trp, or Tyr; Xaa₈ is: Asp, Glu, Ala, Lys, Leu, Arg, or Tyr; Xaa₉ is: Asn, Gln, Asp, Glu, Ser, Cys, Lys, or K(CO(CH₂)₂SH); Xaa₁₀ is: Tyr, Trp, Tyr(OMe), Ser, Cys, or Lys; Xaa₁₂ is: Arg, Lys, Glu, hR, Orn, Lys (isopropyl), Aib, Cit, Ala, Leu, Gln, Phe, Ser, or Cys; Xaa₁₃ is: Leu, Phe, Glu, Ala, Aib, Ser, Cys, Lys, or K(CO(CH₂)₂SH); Xaa₁₄ is: Arg, Leu, Lys, Ala, hR, Orn, Lys (isopropyl), Phe, Gln, Aib, Cit, Ser, or Cys; Xaa₁₅ is: Lys, Ala, Arg, Glu, Leu, hR, Orn, Lys (isopropyl), Phe, Gln, Aib, K(Ac), Cit, Ser, Cys, K(W), or K(CO(CH₂)₂SH); Xaa₁₆ is: Gln, Lys, Glu, Ala, hR, Orn, Lys (isopropyl), Cit, Ser, Cys, K(CO(CH₂)₂SH), or K(W); Xaa₁₇ is: Val, Ala, Leu, Ile, Met, Nle, Lys, Aib, Ser, Cys, K(CO(CH₂)₂SH), or K(W); Xaa₁₈ is: Ala, Ser, Cys, Lys, K(CO(CH₂)₂SH), K(W), Abu, or Nle; Xaa₂₀ is: Lys, Gln, hR, Arg, Ser, His, Orn, Lys (isopropyl), Ala, Aib, Trp, Thr, Leu, Ile, Phe, Tyr, Val, K(Ac), Cit, Cys, K(CO(CH₂)₂SH), or K(W); Xaa₂₁ is: Lys, His, Arg, Ala, Phe, Aib, Leu, Gln, Orn, hR, K(Ac), Cit, Ser, Cys, Val, Tyr, Ile, Thr, Trp, K(W), or K(CO(CH₂)₂SH); Xaa₂₂ is: Tyr, Trp, Phe, Thr, Leu, Ile, Val, Tyr(OMe), Ala, Aib, Ser, Cys, Lys, K(W), or K(CO(CH₂)₂SH); Xaa₂₃ is: Leu, Phe, Ile, Ala, Trp, Thr, Val, Aib, Ser, Cys, Lys, K(W), or K(CO(CH₂)₂SH); Xaa₂₄ is: Gln, Glu, Asn, Ser, Cys, Lys, K(CO(CH₂)₂SH), or K(W); Xaa₂₅ is: Ser, Asp, Phe, Ile, Leu, Thr, Val, Trp, Gln, Asn, Tyr, Aib, Glu, Cys, Lys, K(CO(CH₂)₂SH), or K(W); Xaa₂₆ is: Ile, Leu, Thr, Val, Trp, Tyr, Phe, Aib, Ser, Cys, Lys, K(CO(CH₂)₂SH), or K(W); Xaa₂₇ is: Lys, hR, Arg, Gln, Ala, Asp, Glu, Phe, Gly, His, Ile, Met, Asn, Pro, Ser, Thr, Val, Trp, Tyr, Lys (isopropyl), Cys, Leu, Orn, dK, K(W), or K(CO(CH₂)₂SH); Xaa₂₈ is: Asn, Asp, Gln, Lys, Arg, Aib, Orn, hR, Cit, Pro, dK, Ser, Cys, K(CO(CH₂)₂SH), or K(W); Xaa₂₉ is: Lys, Ser, Arg, Asn, hR, Ala, Asp, Glu, Phe, Gly, His, Ile, Leu, Met, Pro, Gln, Thr, Val, Trp, Tyr, Cys, Orn, Cit, Aib, K(W), K(CO(CH₂)₂SH), or is absent; Xaa₃₀ is: Arg, Lys, Ile, Ala, Asp, Glu, Phe, Gly, His, Leu, Met, Asn, Pro, Gln, Ser, Thr, Val, Trp, Tyr, Cys, hR, Cit, Aib, Orn, K(W), K(CO(CH₂)₂SH), or is absent; Xaa₃₁ is: Tyr, His, Phe, Thr, Cys, Ser, Lys, Gln, K(W), K(CO(CH₂)₂SH), or is absent; Xaa₃₂ is: Ser, Cys, Lys, or is absent; Xaa₃₃ is: Trp or is absent; Xaa₃₄ is: Cys or is absent; Xaa₃₅ is: Glu or is absent; Xaa₃₆ is: Pro or is absent; Xaa₃₇ is: Gly or is absent; Xaa₃₈ is: Trp or is absent; Xaa₃₉ is: Cys or is absent; and Xaa₄₀ is: Arg or is absent wherein if Xaa₂₉, Xaa₃₀, Xaa₃₁, Xaa₃₂, Xaa₃₃, Xaa₃₄, Xaa₃₅, Xaa₃₆, Xaa₃₇, Xaa₃₈, or Xaa₃₉ is absent, the next amino acid present downstream is the next amino acid in said peptide agonist sequence, and a C-terminal extension wherein the N-terminus of said C-terminal extension is linked to the C-terminus of said peptide of Formula 4 and wherein said C-terminal extension comprises an amino acid sequence of the formula: Formula 3 (SEQ ID NO: 3) Xaa₁-Xaa₂-Xaa₃-Xaa₄-Xaa₅-Xaa₆-Xaa₇-Xaa₈-Xaa₉- Xaa₁₀-Xaa₁₁-Xaa₁₂

wherein: Xaa₁ is: Gly, Cys, or absent; Xaa₂ is: Gly, Arg, or absent; Xaa₃ is: Pro, Thr, or absent; Xaa₄ is: Ser, or absent; Xaa₅ is: Ser, or absent; Xaa₆ is: Gly, or absent; Xaa₇ is: Ala, or absent; Xaa₈ is: Pro, or absent; Xaa₉ is: Pro, or absent; Xaa₁₀ is: Pro, or absent; Xaa₁₁ is: Ser, Cys, or absent; and Xaa₁₂ is: Cys, or absent; wherein at least five of Xaa₁ to Xaa₁₂ of said C-terminal extension are present and wherein if Xaa₁, Xaa₂, Xaa₃, Xaa₄, Xaa₅, Xaa₆, Xaa₇, Xaa₈, Xaa₉, Xaa₁₀, or Xaa₁₁ is absent, the next amino acid present downstream is the next amino acid in said C-terminal extension and wherein the C-terminal amino acid may be amidated, and wherein; said peptide agonist comprises at least one Cys residue which is covalently attached to a PEG molecule, or said peptide agonist comprises at least one Lys residue which is covalently attached to a PEG molecule, or said peptide agonist comprises at least one K(W) which is covalently attached to a PEG molecule, or said peptide agonist comprises at least one K(CO(CH₂)₂SH) which is covalently attached to a PEG molecule, or the carboxy-terminal amino acid of said peptide agonist is covalently attached to a PEG molecule, or a combination thereof.
 14. A pharmaceutical compositions comprising a PEGylated VPAC2 receptor peptide agonist according to claim 1 and one or more pharmaceutically acceptable diluents, carriers or excipients. 15-17. (canceled)
 18. A method of treating non-insulin dependent or insulin dependent diabetes in a patient in need thereof, comprising administering to said patient an effective amount of a PEGylated VPAC2 receptor peptide agonist according to claim
 1. 19-21. (canceled) 